Request for Event/Meeting Proposal

Event/Meeting Location

Which IWU location are you inquiring about?

Contact Person

First Name

Last Name

Email

name@domain.com

Phone

Organization Info

Company Name	Street Address
City	State
Zip

Event Information

Title of Event/Meeting	Event Date
Set-up Time Needed How much time do you need to set-up/prepare the space?	Approximate Number of People
Event Start Time	Event End Time
Room Size Needed	Is Your Organization Tax Exempt?

Optional Equipment Rental

Please select all rental items that apply:

Flip ChartConference PhoneOwl Video CameraSmart Cart*Sound System/Microphone*Smart Cart includes: screen, computer, laptop connections, classroom speakers, LCD Projector, DVD player and podium

Optional Beverage & Snack Services

Please select all that apply:

Would you like to order any additional coffee carafe's (beyond the two that are included?) | $15.00 each

YesNo, the two carafe's are enoughEach carafe provides approximately 15, 8 oz. servings

How many additional carafe's (beyond the two that are included?) | $15.00 each

Coffee service includes two carafe's for $25.00. Each carafe provides approximately 15, 8 oz. servings

How many soda cans ($1.50 each?)

How many water bottles ($1.50 each?)

How many snacks ($1.50 each?)

Any Special Requests?

How Did You Hear About Us?

Contact Information