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Facility Reservation Request Form

Date and Time of the Event(*)
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Sponsoring Organization(*)
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Co-Sponsor (If Applicable)(*)
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Contact Person(*)
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Job Title(*)
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Office Phone(*)
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Cell Phone(*)
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Email(*)
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Title and Description of the Event
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Number of People Expected(*)
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Number of Parking Spaces(*)
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Please Indicate if there will be Food and Beverages
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Vendor name and description of food and/or beverage
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Is Kitchen Area Needed?
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Event 1 Set Up Date and Time(*)
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Event 1 Program Start Time
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Event 1 Program End Time
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Event 1 Room Number(*)
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Event 2 Set Up Date and Time
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Event 2 Program Start Time
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Event 2 Program End Time
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Event 2 Room Number
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Media Services
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Setup Options
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If you have your own setup, please upload a PDF here.
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Number of Chairs Requested
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Number of Rectangular Tables Requested
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Number of Round Tables Requested
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Number of Podiums Requested
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Number of Coat Racks Requested
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Number of Panelists Tables Requested
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Additional Setup Information
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Please indicate how the room will be set up, the quantity of chairs/tables requested, etc.

Have you invited, or plan to invite, the press to this event? *
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If yes, which publication, radio and/or TV stations?
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Will you invite any politicians or state officials to this event? *
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If yes, who?
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Is the event open to the public? *
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Is there an admission/registration charge for the event? *
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If yes, indicate the amount
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Is an HCC speaker desired?
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If yes, please specify individual requested
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Would you like HCC academic promotional material at your event?
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