Viet Center Space Request Form printable pdf download

Viet Center Space Request Form

Date: ________________________________

VIET CENTER SPACE REQUEST FORM

*Completion of this form does not insure room availability or event approval.

Applicant Name: ____________________________ Phone: ________________________

Email Address:____________________________________________________________

Full name of Group/Organization: _____________________________________________

Event/Meeting: ___________________________________________________________

Estimated Number of People: ______

Please indicate the circle one:

Monthly | Every other week | Twice a week | Weekly | One-time event

Other

(Please specify)

Request space

Conference Room | Reception room | Large Meeting Space | All of the above |

Other

(Please specify)

Days of Week:

Mon

Tue

Wed

Thu

Fri

Sat

Sun

Time: _______________________________

Date (Start): ___________ Date (End): ____________

Description of the purpose:

____________________________________________________________________________

Description of the event:

____________________________________________________________________________

AV Equipment Requested?

(Limited AV equipment available. Ex: No TV/DVD carts, etc.)

Yes

Anything else you’d like us to know:

Viet Center Space Request Form