Events Request Form

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Events Request Form

Host of Event	Ext.
Contact Person	Ext.
Contact Person's Email Address
Name of Event
Date and Time of Event
Location
Estimated number of participants
Account number to charge
Printed program to be mailed	YES NO
If yes, who is responsible?	Comm. Svs. Events Coordinator Host

Printed Proceedings	YES NO
If yes, who is responsible?	Comm. Svs. Events Coordinator Host

Nametags	YES NO
If yes, who is responsible?	Comm. Svs. Events Coordinator Host

What A/V equipment is needed?
How would you like the room setup?	Classroom style - table and chairs Seminar - chairs only Other
	Explain:
Who is responsible for set-up and clean up?	Events Coordinator Host

FOOD & BEVERAGE	How much would you like to spend on each meal?
Who is responsible for arranging the following? Events Coordinator Host
Breakfast
Coffee
Hot Water
Hot lunch
Sandwiches
Dinner
Breaks	AM PM

Notes to Events Coordinator

New York State Agricultural Experiment Station, 630 West North Street, Geneva, New York 14456
Telephone: 315.787.2011

Last Modified: October 7, 2005
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