2006 NACAA AMPIC

"Agriculture: A River of Diverse Opportunities"

July 23-27, 2006

Cincinnati/Northern Kentucky

FACILITY REQUEST FORM

Please fill out (1) request for each individual function or session.      If you have questions regarding the form please contact Brittany Edelson at 502-633-4593.

                    

Committee       

Committee Chair/Co-Chair       

            Contact Information       

                                                             E-mail Address                                    Phone #

 

Event Name      

Event Type

 

Event Date     Please list days if event length is >1day   

Length of Event              

Room Set-up Style       

                        Other Room Setup   

Estimated Attendance   


Equipment Needs     

    Microphone(s) list number if multiple needed                  Table  # of Tables

   Slide Projector     PowerPoint Projector    DVD Player              Projection Screen            

   Computer           Lectern                          Easel                       Flip Chart                            

   Internet Capability Platform                        Spotlight                   PA System     

        Other Equipment Needs   


Refreshment/Food Needs         

                        Other Food Needs   

Decorations                

Signs     Banner        Easel Signs    Door Sign    Other   


OTHER FACILITY NEEDS  (Please describe any other facility needs you may have that this form has not addressed)

   If you need a different setup for a multiple day event hit Reset and submit another form