100 Empire Drive, Suite 100, St. Paul, MN 55103-1885 • Phone: (866) 547-6516
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Select the Association with MCIT that Best Applies to You
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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
Standard Hollow Square
Classroom
Theater
Cluster of 8
Will be Serving
Breakfast
Lunch
Is a Sperate Room Needed for Lunch?
Yes
Caterer:
Other Accomidations:
Needs Checklist
Audio System
Conference Phone
DVD Player
Data Projector - $25
Overhead Projector
Speaker Phone
Screen
TV/VCR
Visual Aid Monitors
Connections
Analog line/Dialup
ITV (hourly fee)
Internet
Serving
Dining Room
Serving Kitchen
Serving Tables
Number of Serving Tables:
Miscellaneous
Lecturn
Flip Chart
White Board
Registration Table
Other Needs- Not Listed
Other 1
Other 2
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: