Coos Meetings and Event Requests - Coos Facilities Request

Name of Organization:

*

Contact Person:

*

Your Title: (For all conference correspondence)

*

Mailing Address:

Street Address:

*

City:

*

State / Province / Region

*

Postal / Zip Code

Phone:

*

Email:

*

Person Responsible for Financial Obligation:

*

Reservation Start Date/Time:

*

Reservation End Date/Time:

*

Event Title & Description of Activity:

Expected number of attendees:

*

Is your group a non-profit 501(c)(3) organization?

*

Yes
No

Requested Room if Available:

Any anticipated ticket/retail/vendor sales?

*

Yes
No

Request for alcohol present during event?

*

Yes
No

Catering needed?

*

Yes
No

Campus Housing or Accommodations needed?

*

Yes
No

Dining Services Café meal tickets needed?

Yes
No

Arrangement* (Some rooms have standard set-ups):

*

Banquet Style (Round Tables with chairs around table)
Theater Style (chairs only)
U-shaped
Class Room (rectangle table w/chairs facing front)
Conference (Long table w/chairs surrounding)
None

"Other" requirements:

"Other" special arrangements:

Do you foresee any musical equipment? ($125.00 Tuning Fee for Piano):

Grand Piano
Upright Piano

Set-up Requests:

Podium
Head Table
Beverage Food Table

"Other" musical equipment:

"Other" set-up requirements:

Meetings and Events