Booking No.
FACILITIES RESERVATION & SERVICES ORDER FORM
HCCS Conference & Training Center • 3100 Main, Suite 2D00, Houston , Tx. 77002 • Phone: (713) 718-5306 • www.hccs.edu/ctc
Please Complete Form and Fax to: (713) 718-5172
Today's Date: Event Date:
Event Name: Event Time: Start: AM End: AM
PM PM
Company Name or Department: Company/Department Address: Number of Attendees:
Requesting Method of Payment *Dept Budget Check Credit Card Other
*Dept Budget # must be provided in order for request to be processed
Contact Name: Contact Phone: Contact Email: Contact Fax:
External Internal Commercial Non-Profit
Facilities (please check the box) *room assignment dependent upon availability.
Auditorium/Foyer, (capacity: 220 Theatre, 140 Classroom) indicate number of days: CTC Seminar A, (capacity:65 Theatre, 40 Classroom) indicate number of days: CTC Seminar B, (capacity: 85 Theatre, 82 Classroom) indicate number of days: CTC Seminar C, (capacity: 35 Theatre, 22 Classroom) indicate number of days::
Setup/Breakdown Required: (please check the box)
Theatre style: chairs only
Classroom style: chairs and tables in rows Board style: chairs and tables in square Forum style: chairs and tables in open "u
Conference style: rows of tables w/ chairs on 2 sides Cluster style:tables in groups w/ chairs on all sides Banquet style: round tables w/ chairs around table Crescent style: round tables w/ chairs in semi-circle
Booking No.
FACILITIES RESERVATION & SERVICES ORDER FORM
HCCS Conference & Training Center • 3100 Main, Suite 2D00, Houston , Tx. 77002 • Phone: (713) 718-5306 • www.hccs.edu/ctc
Please Complete Form and Fax to: (713) 718-5172
Equipment Required (please check the box)
Plasma Screen (Lobby) Small Podium
Laptop TV with DVD /VCR Combo
LCD projector Easel
Projection screen Easel Pads Protective carpet mat *mandatory for catering
Overhead Projector
Flip Charts: QTY Markers: QTY
Auditorium only
8ft tables indicate number up to 20: 6ft tables indicate number up to 20: 15 @"60"inch round
5 @"72"inch round
Chairs indicate number up to:200
Large podium with plasma screen monitor *required for powerpoint presentation Sound System with standard microphones
Sound System with wireless microphones
Other Equipment and / or Services (please check the box)
Video recording CTC Rooms only Telephone *CTC Seminar A, B & C Only
Event Management *payment may be required for some evenings and weekends Housekeeping *required for catering :minimum 4 hours
Technology Consultation (required with technical and / or AV system use; minimum 4 regular hours) Satellite Conferencing
Video Conferencing Bridging Services
Video Conferencing International Long Distance Video Conferencing Domestic Long Distance Security Coordination (at clients expense) Parking Coordination
Booking No.
FACILITIES RESERVATION & SERVICES ORDER FORM
HCCS Conference & Training Center • 3100 Main, Suite 2D00, Houston , Tx. 77002 • Phone: (713) 718-5306 • www.hccs.edu/ctc
Please Complete Form and Fax to: (713) 718-5172
Client Budget Information:
Fund Dept. I.D. Acct. Prog. Class Budget No.
Print name of requestor Signature of requestor Signature - Budget Authority
For Accounting Use Only:
TRAN F _ _ BATCH NO. FY _ _ DOC. DATE / / _ _ 3102 LTC 1 56104 975 100 $ DR/CR C
Fund Dept I.D. Acct Prog Class
Reviewd by:
DISTRIBUTION OF COPIES
(1) Building Operations, (2) Business Office, (3) Originator Approved by:
I acknowledge completion of this reservation form and understand that any changes must be made by completing a change order form. Changes not made within 5 days of the reservation will incur change order fees. Initial Cancellation must be made within 5 days or a $100 fee will be accessed.
All internal events that require setup, maintenance, audiovisual and/or event management will be charged standard overtime fees after regular business hours.
All copies needed must be made by the staff member hosting the event and must have their code entered into the copier code:
Client Signature: Conference Services Staff Date Entered
Reservation #
