Susquehanna UniversitySusquehanna University - Student Life

Office of Campus Activities
 

Event Reservation Form

LINKS TO FUN

Trax

Charlie's Coffeehouse

Student Activities Committee

Local Movies

Outdoor Recreation Center

Intramural Sports


Event Name       Event Date  
Preferred Location       Alternate Location
Setup/Tear Down Time :   to
:   		      Published Event Time :   to
:  
Requestor's Name        Requestor's E-mail  
Requestor's Phone         Spon. Organization/Dept.
Expected Attendance       Org. Advisor  
Recurring Event

Facility Set-Up -- Please check one of the options below or describe an arrangement

    Lecture Style               Conference table        Boardroom Style
  Lecture Style   Lecture Style   Lecture Style
Served Banquet Buffet Style
Semi-Circle of Chairs Circle of Chairs
Podium / Lecturn Easel / Dry Erase
Staging / Platform Extra table for display
Extra table for refreshments None - Room as is
Other (please discribe)

A/V Technical Needs -- Please check any of the following (if quantity is different than 1, please indicate)
Complex technical arrangements must be made directly with the Technical Services Manager, 570-372-4038.
Podium TV/DVD/VCR CD Playback Video Screen
Computer Media Equipment Video Projector Risers None
Microphones Alternate Venue Sound System
    Podium mic
    Table top mics
    Wireless mic, handheld, lavaliere
     System A (Large system, CD, Mics)
    System B (Small system, Mics)
    System C (CD/DVD Sound)
Other (please describe)


Food Service Needs -- Please check food service desired and specify time.
**Specific food arrangements must be made directly with ARAmark Food Service, 570-372-4228.
Served Meal** Time:      Buffet Meal** Time:      Tray Meal    Time:
Refreshments**   Time: Coffee Set-Up**   Time: Box Lunch
Other** (please describe) No Food Service Required


Other Special requests for the Event


Do you want this event visible on the Susquehanna Web Site - Event Reservation Info. Yes   No

A confirmation form will be sent to you through Campus Mail.
Please report any changes/cancellations in this reservation to the Campus Center as soon as possible at 570-372-4169 or 570-372-4225.
Susquehanna University Last updated
Jody Hare, Director, Campus Activities
Susquehanna University, Selinsgrove, PA 17870