Requestor's Name
Organization/Dept
Contact Phone
E-mail
Co-Sponsor (if any)
Date of Event
Alternate Date
Event Name
Description of Event
Start Time
End Time
Time Needed for Set Up
Estimated Attendance
Room Requested (First Choice) Board of Visitors Cape Charles Chesapeake Hampton Isle of Wight James River Lynnhaven River Newport News North Cafeteria North Mall Portsmouth Potomac River Rabbi Reich Rectors Retro Richmond Smithfield South Cafeteria South Mall Virginia Beach Virginia Rice Webb Williamsburg York River Other
Room Requested (Second Choice) Board of Visitors Cape Charles Chesapeake Hampton Isle of Wight James River Lynnhaven River Newport News North Cafeteria North Mall Portsmouth Potomac River Rabbi Reich Rectors Retro Richmond Smithfield South Cafeteria South Mall Virginia Beach Virginia Rice Webb Williamsburg York River Other
If "Other" was selected, please specify.
Type of Event Meeting Lecture Performance Dance Concert Workshop Dinner Luncheon Breakfast Reception Fundraiser/Sales Information Table Other
Room Setup Banquet (Round Tables) Square Auditorium U-Shape Classroom Conference Will Provide Diagram
Will you have amplified sound?
Are you charging admission?
If a Head Table is needed - for how many?
Number of Staging Sections Needed
Other Equipment Needed
Will alcohol be served?
Will food be served?
If yes, what type of food?