Event Space Reservation Request Form Company/Organization InformationName(Required) First Last Email(Required) Phone Number(Required)Company/Organization(Required)Company/Organization Status(Required)Non-ProfitNon-Profit but Charging for EventFor-ProfitCompany/Organization Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Event DetailsMeeting/Event Name(Required)Number of Attendees(Required)Date of Event(Required) Month Day Year Event Start Time(Required) Hours : Minutes AM PM AM/PM Event End Time(Required) Hours : Minutes AM PM AM/PM At what time do you need to be in the event space to begin set up?(Required) Hours : Minutes AM PM AM/PM Do you require room set up assistance?(Required) Yes No Do you require IT Support?(Required)IT Support is not available until 8 a.m. and includes basic services such as connecting to Kirtland’s wireless network, general computer lab support, general video conferencing support, and general conference room AV support. Yes No Will food and/or refreshments be served at your event?(Required) Yes No Additional Notes/Information
