Susquehanna UniversitySusquehanna University - Student Life

Office of Campus Activities
 

Event Reservation Form

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Event Name       Event Date  
Preferred Location       Alternate Location
Setup/Tear Down Time :   to
:   		      Published Event Time :   to
:  
Requestor's Name        Requestor's E-mail  
Requestor's Phone         Spon. Organization/Dept.
Expected Attendance       Org. Advisor  
Recurring Event

Facility Set-Up -- Please check one of the options below or describe an arrangement

    Lecture Style               Conference table        Boardroom Style
  Lecture Style   Lecture Style   Lecture Style
Served Banquet Buffet Style
Semi-Circle of Chairs Circle of Chairs
Podium / Lecturn Easel / Dry Erase
Staging / Platform Extra table for display
Extra table for refreshments None - Room as is
Other (please discribe)

A/V Technical Needs -- Please check any of the following (if quantity is different than 1, please indicate)
Complex technical arrangements must be made directly with the Technical Services Manager, 570-372-4038.
Podium TV/DVD/VCR CD Playback Video Screen
Computer Media Equipment Video Projector Risers None
Microphones Alternate Venue Sound System
    Podium mic
    Table top mics
    Wireless mic, handheld, lavaliere
     System A (Large system, CD, Mics)
    System B (Small system, Mics)
    System C (CD/DVD Sound)
Other (please describe)


Food Service Needs -- Please check food service desired and specify time.
**Specific food arrangements must be made directly with ARAmark Food Service, 570-372-4228.
Served Meal** Time:      Buffet Meal** Time:      Tray Meal    Time:
Refreshments**   Time: Coffee Set-Up**   Time: Box Lunch
Other** (please describe) No Food Service Required


Other Special requests for the Event


Do you want this event visible on the Susquehanna Web Site - Event Reservation Info. Yes   No

A confirmation form will be sent to you through e-mail. Please report and changes/cancellations in this reservation to the Campus Activities Office as soon as possible at 372-4169 or 372-4225. Your confirmation form must be electronically signed by you and e-mailed back to hollenba@susqu.edu.
Susquehanna University Last updated
Jody Love, Director, Campus Activities
Susquehanna University, Selinsgrove, PA 17870