Free REQUEST FOR ROOM RESERVATION - Indiana

REQUEST FOR ROOM RESERVATION State Form 45292 (R11 / 6-06) Room reservations are filled on a first-come, first-served basis. This form is only a request and does not guarantee a room until it is processed and confirmed by the Conference Center.

Department of Administration Conference Center Telephone (317) 233-3117 Fax (317) 233-0011 [email protected]

We are not staffed as a full-service conference facility. Your careful attention to detail in the planning stages is very important. We also do not have the full range of equipment that can be found in a full-service facility. Please be mindful of this and request only the equipment that you really need. We will do our best to handle your request, but there may be times when you will have to go to a vendor to rent equipment. Name of Agency Sponsoring Event Division Section Contact Person Address (Building & Room Number) Name of Event Date of Event (please include alternate dates) Event Start Time Event End Time AM AM PM PM Please Include Alternate Dates Need access before start? Need access after end? AM AM PM PM Telephone Number E-mail Fax Number

If you plan to serve food or have displays, this must be handled at the time of the reservation. Food Service Planned Displays Planned Using The Café Group Using Other Licensed Caterer (please specify) Event takes place prior to 7 am or ends after 5:30 during a working day. Building Access Policy Applies, see website for details. Event takes place over a weekend or holiday. Building Access Policy Applies, see website for details. State employees who do not normally park in the garages will be attending. IT IS YOUR RESPONSIBILITY TO GET A LIST OF THOSE EMPLOYEES TO THE PARKING GARAGES TO FACILITATE THEIR PARKING AND TO EASE TRAFFIC CONGESTION. Set Up Requested Equipment Requested Total Number of People Attending:___ ___ Podium w/ Microphone Overhead Projector Conference (closed or hollow square) Podium w/out Microphone Slide Projector Horseshoe Microphone (to amplify) # Laser Pointer Horseshoe # + Audience # Microphone (to record) # LAN Connection Horseshoe # + Classroom # Microphone (to do both) # Easel Theatre / Audience Lapel Microphone # Flipchart Classroom (seated at tables) Cassette Recorder Whiteboard Hearing Style (include diagram) Cassette/CD Player/Recorder Screen Head table # __ VCR/Monitor Telephone Food Service Table # __ VCR/Monitor (Close Captioned) Speaker Phone Registration Table # __ ELMO Visual Presenter Conference Phone Display Table # (limitations apply) Mixer Mult Box Special arrangement (include description) Other: _ _ Special Request/Special Arrangement/Room Diagram: __

AUDITORIUM REQUEST ONLY: Total Number of People Attending: __ Podium w/out Microphone Lapel Microphone # __ CD Podium w/ Microphone PowerPoint Presentation (use our system, bring disk/laptop) Cassette Head Table for # Internet Presentation (use our system) VCR Microphone for Head Table # __ Visual Presentation (ELMO/overhead) Laser Pointer Floor Microphone # ___ Assistive Hearing Devices will be needed # __ Mult Box Tables in Atrium for Food # __ Tables in Atrium for Registration # __ Cassette Recorder *PowerPoint: We have PowerPoint 2000. This software will read PowerPoint 97, 98 and 2000. Please use the "Pack and Go" function found in "File" of your PowerPoint program and download the presentation to floppy disks or CD or you may also connect your laptop directly into the system. For a better presentation of this particular room, do not use a dark background on your slides. Please be advised that this is a request form only. Presentations requiring presence of staff to change modes may require that the requesting agency hire professional audio-visual staff for the event. CONFERENCE CENTER OFFICE USES ONLY Date Received Date Received Problems, if any, were addressed by: Room(s) Staff This event involves multiple rooms or multiple days. Pre-Conference Review sheets sent. This event involves multiple rooms or multiple days. Pre-Conference Review sheets sent Confirmation Sent Contact sent