Reservation Form You must have JavaScript enabled to use this form. Indicates required field Organization Information Name of Organization Note: User must be an individual(s) or a corporation, society or other legal entity. If the user is a corporation, society or other legal entity, its full and correct legal name is required here. Address City Province/State Contact Person Email Email Email Phone Number Registered Societies/Charity Number (required for non-profit rate) Room(s) Requested Room Level 9: Room 910 (Poet's Corner) Level 9: Room 916 Level 9: Room 917 Level 9: Room 918 Level 9: Room 919 Level 9: Room 920 Level 8: Montalbano Theater Level 8: Room 851 Lower Level: Alice Mackay Lower Level: Alma VanDusen Lower Level: Peter Kaye Lower Level: Combined Alma VanDusen and Peter Kaye Event Details Date and Time Date(s) Requested Time of Room Access Time of Event Start Time of Exit Operations Date(s) Requested (use the '+/-' to add dates) Time of Room Access Time of Event Start Time of Exit Event Title or Working Title Estimate of Attendance Is This Event Open to the Public Yes, any interested member of the public can attend or purchase a ticket to attend. No, no interested member of the public can attend or purchase a ticket to attend. Open to Public Event Description If the event is open to the public, please include a short description of the topic and format of the event, the names of all speakers and any professional affiliations they may have. How will you contact the attendees for your event? Will the event be advertised on your website or any other way? Are you planning to virtually stream this event? Can anyone attend, register to attend or purchase a ticket to attend the event? Fees / Food / Music / Drink Food or drinks will be served. Music will be played at the event. Alcohol will be served. Admission fee or suggested donation amount What food or drink? Name of caterer Room Layout Style Layout Style Theatre - Chairs set in rows facing front with central aisle. Classroom - Tables & chairs arranged for individual work surface. Hollow Square or Boardroom - Chairs set around a central table. Banquet - Round tables with up to 8 chairs each. Reception - Standing room with casual seating and tables as specified by client. Custom - Room configured according to client specification or drawing. Other Notes Equipment Request Seating and Furniture - Lower Level Only Chairs No charge. - None -5101520253035404550556065707580859095100105110115120125130135140145150155160165170175180185190195200205210215220225230235240245250255260265270275280285290295300 Tables - Rectangular No charge. - None -1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950 Tables - Round (5ft. diameter) No charge. - None -1234567891011121314151617181920 Stage (8ft.x 12ft.) Alice MacKay Room only. No charge. - None -1 Larger Stage or Stage in Alma-Peter Room Costs Apply. $220 - None -1 Coat Racks with hangers No charge. - None -12 Audio / Video Microphone with Table Stand Subject to availability in select rooms. - None -123 Microphone with Floor Stand Subject to availability in select rooms. - None -123 Wall-mounted TV Level 9 rooms only. Costs apply. $100 - None -1 DI Box for Laptop Amplification No charge. - None -1 Fabric Projection Screen (for own projector) No charge. - None -1 Video Projector - Alice MacKay Alice MacKay Room only. Costs apply. $250 - None -1 Video Projector - Alma VanDusen and/or Peter Kaye Individual rooms or combined. Costs apply. $100 - None -1 Internet and Phone I will use the free VPL wifi network No charge. - None -Yes Wired Internet Access (client provides own laptop) Costs apply. $50. - None -Yes Conference Telephone (includes line activation) Costs apply. $100. - None -Yes Other WhiteBoard with markers Costs apply. $20 - None -12 Flip Charts with paper and markers Costs apply. $20 - None -12345678910 Statement of Agreement I have read and agree to the Policy and Regulations. yes Please Note Note Changes can be made up to 48 hours prior to the event. Changes requested on the day of the event, if possible, will carry a minimum $50.00 fee. All Equipment is subject to availability. All prices are subject to change without notice.
