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NC State College Special Events & Rental Services (419) 755-4815 | mcollins@ncstatecollege.edu

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Word Format | PDF Format		 Special Event IT/AV Form
(for detailed optional rental needs)
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NC State Facility Rental Online Application
Please complete the following information with as much detail as possible, a minimum of 7 to 10 days prior to your meeting or special event date (s).  Your request will be processed and you will be contacted with further information. 

Today's Date         
Contact Name        
Organization    
Phone       Fax         E-mail 
Billing  Address:    Street     City      State      Zip

Rental Category   
Profit Organization   
Non Profit Organization with 503(c) (3) Number
Will an admission, registration, or any type of fee be charged to attendees?   
Yes (fee charge per individual)  
No
Name of Instruction/Event
Target audience for event
Will vendors display or promote their product (s)?    Yes    No

Event Timeline
Event Date (s):               through         
Event Begin Time   Event Ending Time
What day and time do you want to have access to room (s)?     Start                 
End               
Anticipated attendance      Will your event require more than one room    Yes    How many rooms?      No    

Room Setup (There may be a room set up and tear down fee associated with some set up formations)
     Other set up style 

Catering
Do you plan to have food catered into your event?    Yes    No
If yes, what type (s) of meal will be served?    Donuts & Coffee/Continental Breakfast    Box lunches    Hot Meal
Name of caterer you expect to use for your event (must have a mobile license from the Health Department)   
Caterer's Phone Number   

Check List of Event Needs    Note: Use of College photocopies is prohibited.  Please plan to bring all necessary documents with you
 Registration Tables   Quantity  
Podium
 Tables   Quantity   
Chairs    Quantity   
Extension Cords
 Easel (you must provide your own paper and markers)
 Other   

AV and Informational Technology Needs
Note: There may be an hourly technician's fee associated with the use of some technical equipment that belongs to the college.
Audio        Standard Microphone    Wireless Handheld Microphone    Wireless Lapel Microphone
 Visual        Overhead Projector (for transparencies)       LCD Projector (for PowerPoint and Video)
Electronics    DVD Player    CD Player    VHS Player    Cassette Player
Computer    CD Rom Drive   DVD Drive     Floppy Drive    MS Office XP    MS Office 2003    Internet Connectivity
Videoconferencing    Number of Attendees 
Teleconferencing    Number of Attendees 

Room Configuration
Please describe how you want your space configured including location of tables, chairs and exact seating details.  You may be asked to submit a diagram at a later time.