MCIT Facility Registration Form

Select the Association with MCIT that Best Applies to You

Organization:
Request Made By:
Designated Contact Person Attending the Meeting:
Phone Number:
Fax Number:
Email Address:
Details of Reservation:
Meeting Date:
Meeting Name:
Start Time:
End Time:
Number of Attendees:

Room Preference Setup

Will be Serving

Is a Sperate Room Needed for Lunch?
Caterer:
Other Accomidations:

Needs Checklist


Connections

Serving

Number of Serving Tables:

Miscellaneous

Other Needs- Not Listed

The above reservation request meets the specifications for meeting space. Any changes are noted as necessary. I have received a copy of the MCIT Facility Use Policy and agree to adhere to the terms set forth in the policy. I agree to hold MCIT harmless from any costs incurred as a result of alcohol or firearms possession in violation of MCIT policies.

Submit Date:
Name of Requestor: