NSU Facility Leasing

Facility Leasing Form

Contact Information

Required fields are marked with an asterisk (*)

* Organization Name:
* Contact Person:  
Title:  
First Name:  
Last Name:  
* Address:
* City:
* State:
* Zip Code:
* Telephone:
  Fax:
* Email Address:
   

Proposed Event Information

Required fields are marked with an asterisk (*)

* Date(s) of Event:
* Title of Event:
* Start Time (including setup):
* End Time (including break down):
* Number of Attendees Expected:
* Purpose of Event:
* Proposed NSU Location:
* Is this event open to the public?
* Will food be served?
Room setup requests:
Audiovisual equipment request
(check all that apply):
LCD Projector
Projection Screen
Laptop
Flip Chart with Paper Pad
Flip Chart Markers
Dry Erase Board
Dry Erase Markers/Eraser
TV/VCR Combo
Other (please specify below)