**Organization Name

**Is your organization profit or non-profit?
profit non-profit

**Contact person's name

**Contact person's e-mail address

**Contact person's phone number

Type of event (ie: workshop, meeting, focus group, talk, reception)

**Which room are you interested in renting?
Theatre Conference Room

**Date and time of your event

Is there a chance that the event will run later than the indicated end time? no yes

Would you like this event listed on our daily events postings?
no yes

**How many people will be attending?

**Will the presenter bring his/her own laptop for presentation purposes? no yes

**Will you need Internet access during the event?
no yes

**Will you need computers for the people attending the event?
no yes

If yes, how many?

What operating system would you prefer? Windows 2000 Linux

Will you need to install any third party software?
no yes

If so, what is the name of the software.
(Note: We are not responsible for providing licenses for any third party software.)

**Do you need access to a speakerphone?
no yes
(Note: It is the responsibility of the renting organization to provide long distance calling availability.)

**Will you need access to a VCR?
no yes

**Will you need access to a Polycom Videoconferencing Unit (H.323)?
no yes

**Will you need the Access Grid?
no yes

**Wiill you need microphones?
no yes
Note: Microphones are only available for the OSC BALE Theatre.

**Do you need a reception area? no yes

**Will this be a catered event? no yes

Do you have any other requirements not specified above? no yes