UMMC Student Union

Convention Center Reservation Form

Today's Date:

Department/Organization:

Your Name:

E-Mail Address:

Phone Number:

FAX Number:

Event Name:

Event Date:

Event Begin Time:

Event End Time:

Description of Event:

Expected Attendance:

Setup style requested:

Click here to view styles

Theatre

Banquet

Classroom

Reception

Conference Table

U Shape

Hollow Square

Mess Hall

Expo

Other, please describe:

Will amplified sound be needed at any time during this event: Yes No

Additional equipment requested:

TV/VCR

Slide projector

Overhead projector

Stage (appr. size):

Podium /mic

Table-top lectern

Registration table (Qty):

Head table (Qty):

Piano

Flip Chart

Multi-media projector

Laptop Computer

Wireless lapel mic

Wireless hand held mic

Downlink satellite tele-conference

Coordinate additional A/V items through the Department of Audio/Visual Services, 984-1220

Will parking spaces be needed for off campus guests? Yes No

If Yes, how many spaces are needed?

With prior arrangement, a minimum number of parking spaces are available at the Union, any additional space must be approved by Parking and Transportation, 984-1405.

Will food be provided at this event? Yes No Buffet Style Served

Catering arrangements must be made through the Department of Food and Nutrition. Please contact Catering at 984-2072.

Please describe any additional needs:

Completing this form does not create a reservation for, nor does it constitute approval or confirmation of, requested facilities or event services. This form shall not constitute a binding agreement for the use of facilities until all relevant portions of this form have been completed and you have received a confirmation from an authorized representative of the Norman C. Nelson Student Union.

Facility use will only be reserved for University Medical Center student, faculty, staff or affiliated organizations in furtherance of the institutions mission.
Organizations must comply with all applicable Medical Center policies, procedures, rules and regulations.
Meeting rooms cannot be used for commercial purposes.
In order to maximize facility usage, the Union's management and staff reserve the right to reassign conference rooms at any time. When communicating your events location to participants regardless of the specific conference room assigned, please refer to the space as the: "Student Union Conference Center." Appropriate directional signs will be used at the time of the event to facilitate easy patron access.