Request Form - Check Room Availability

* required field

Event Details

Event Title: *

Event Type: *

Event Date: *

Number of Attendees: *

Campus Holidays and Closures

Room(s)

Layout: *

Room Requested: *

Timing

Event Start Time: : Set-up minutes *

Event End Time: : Set-up minutes *

Additional time to set up: : Set-up minutes

Additional time to clean up: : Set-up minutes

Please list any additional time needed for set up/clean up. If no additional time is requested, no early access or clean up time will be allotted.

Catering Will the event be catered? yes
no

Please take note that Choura Venue Services is CSULB's and the PACC's catering service. You may contact them at (562) 985-4138.

Parking Please check all that apply: I will Pre-pay and pick up permits at the main parking office.
Attendees will purchase a permit at a yellow dispenser and self-park. Current fee is $4.00/vehicle.
Attendees have current CSULB permit.

Note: Any special parking requests must be submitted to pacc@csulb.edu for processing.

A/V Equipment available Please check all that apply: Podium with microphone
Easels (up to 2)
LCD Projector with screen
VCR/DVD Player
Lapel Microphone
Registration Table(s)
Wireless Internet Access (BeachNet)

Please specify if you are bringing in any plug-in items or cords, etc.

Contact Information (for contact and billing purposes)

Event Organizer Name: *

Best Contact Phone: *

Street:

City:

State:

9 Digit Zip Code:

Email: *

Fax:

Billing Information (if different from above)

Event Organizer Name:

Best Contact Phone:

Street:

City:

State:

9 Digit Zip Code:

Email:

Fax:

Parking and Transportation Services