Space Request/Event Rental Form

First Name: *

Last Name: *

Title:

College:

Address Line 1: *

Address Line 2:

City: *

State/Province: *

Zip/Postal Code: *

Phone: *

Fax:

E-mail: *

OSU Affiliation (Department):

I am:

If "Current OSU Student", what rank are you?:

Organization:

Organization type:

If 'Other Organization type' list here:

Event Partners (Departments/Centers/Schools):

Event name: *

Event Type:

Guest List:

Event Description:

Starting date and time: *

Ending date and time: *

Alternative Date and Time Request:

Maximum number of participants: *

Contact for Event: *

Participating Departments:

Space Requested (check all that apply): *

Upper Gallery

Lower Gallery

Conference Space

Kitchen

Special Needs (Indicate quantity needed):

Plastic Blue Chairs (30), Plastic Red Chairs (30) Cushioned Burgundy Chairs (50):

Rolling Tables 2' by 5' (8), Fixed Tables 2' by 5' (10), and Folding Tables 3' by 6' (7):

Tech Cart (Includes Speakers, LCD Projector, and Apple Laptop):

Sound System:

DVD Player (1):

Podium w/Mic (1):

TV/VCR (1):

Additional AV Technology and office equipment supplies are available upon request:

Do you want to have your event catered?: *

Do you want to serve alcohol at your event?: *

If yes, who will be serving the alcohol?:

Attachment	Size
Space Request-Event Rental_3_25_2009.pdf	203.51 KB