SCPKU Facility Reservation Request
Please complete one form for each separate event.
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Email *
Name (Stanford Contact) *
Stanford Department *
Phone Number *
Stanford Affiliation *
Event Title *
Event Start Date *
MM
/
DD
/
YYYY
Event End Date *
MM
/
DD
/
YYYY
Event Start Time *
Time
:
Event End Time *
Time
:
Event Type *
Sponsored Organization Name (if applicable, for non-Stanford org) *
Event Planner Name (Key contact person) *
NOTE: The event planner must be on-site at SCPKU from event set-up through the completion of the event to oversee logistics.
Event Planner Email *
Event Planner Phone *
Number of people attending *
Specific budget if available/applicable *
Any specific room preference(s)?
Set-up/Layout (chair/table configurations, etc; ex: "seminar table for 15," "theatre seating for 50," etc.) *
Do you need other spaces (e.g., dedicated space for separate meal, exclusive use of separate seating areas, breakout spaces, etc.)?  Enter "N" if no other spaces needed.
Audio-visual needs (e.g., laptop projection, TV screen, microphones, etc.)?  Enter "N" if no AV needs.
Translation needs (sequential or simultaneous)?  Enter "N" if not needed.  
NOTE:  These types of services are typically subject to an additional 10% administrative fee.
WIFI (indicate number of guests who require WIFI)
Food and beverage needs (Indicate meals, time, and budget) *
NOTE:  These types of services are typically subject to an additional 10% administrative fee.
Billing PTA (required for CONFIRMED reservation) *
Other needs
If applicable, add other information here that will help in booking process
Event purpose, background and speaker(s)
Thank you for your interest in SCPKU.  We will contact you shortly.
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