Facilities Usage and Rental Request Form Please review the LSC Procedure for Facilities Usage and Rental. "*" indicates required fields Organization Name * RequiredOrganization Mailing Address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact name of person making the request * RequiredContact Person Phone Number * RequiredContact Person Email Address * Required Start Date Space is Needed * Required MM slash DD slash YYYY End Date (if different than the start date) MM slash DD slash YYYY Time(s)Include time needed for setup and teardown of the event.Event Name or Description * RequiredWhat type(s) of rooms are you wanting to rent?(classroom, computer lab, conference room, large space, parking lot)Estimated number of attendeesIs the organization a Non-Profit?YesNoPlease attach certification or other form of Non-Profit status if applicable.Accepted file types: pdf, doc, docx, Max. file size: 50 MB.Description of any other equipment needs(table/chairs special arraignments, microphone, ADA accommodations, etc.): Almost all rooms come equipped with AirTame. This system allows users to bring in their own laptop and link it to the AV system in the rooms. Name of person authorized to sign the rental agreement if different from contact personJob TitleEmail Address
