Reservation Form for
Please complete the form
below to reserve space in CEO’s
Return reservation form to:
Nancy Rice, Director of Communications and Development,
Name: ________________________________________________________________________
Organization: ___________________________________________________________________
(In-House use only: Division: _______ Supervisor’s Signature: _______________________
Address: ______________________________________________________________________
Phone Number:________________________ Fax Number: _____________________________
Date of Event: ________________________
Number of People: _____________________ Time: ___________ to ____________
Event/Program: _________________________________________________________________
Room Set up (please choose one):
___ U-Shape ___ Classroom ___ Theater ___ Other, please specify: _____________________
Please check all that pertain to your event:
___
Conference Room
(We have several different rooms available; your event will be placed
in the
most appropriate room based on your group size and your event needs.)
___ Computer/Training
Lab (NOTE: Food/Drink is NOT permitted in
this room)
___
Catering Services required (this includes any food and
beverage) If you have checked the Catering
Services box, please complete the
Catering Reservation Form.
___ Screen
___ Projector and/or ___ Laptop
___ Podium and/or ___ Microphone
___ Other, please specify: _________________________________________________________