Conferences and Events Space Request Form

For a printable PDF version of this form instead, click here (this will open in a new window)
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* Indicates a required field
Basic Information
I am: *
From an organization external to Merrimack College
A Merrimack Employee or Student
If you are from an external organization, how did you hear about Conferences & Events at Merrimack College?
Requested Day/Date *
Day:    Month:    Date:    Year:
Name of Organization *
 Event contact Person *
Address 1
 Address 2
City
State

example MA
Country

example USA		 Zip Code

example 02061
Phone *
 Fax
Email
Facility / Event Information
Facility(ies) Requested

Click here to view a chart of our facilities (this will open in a new window)
Expected Attendance *
# 		Event Name *
Event Start Time *
 Event End Time *
Set Ready By *
 Event Type:

Event Requirements
Setup Configuration
Click here to view our setup options (this will open in a new window)
Chevron
Classroom
Conference/Boardroom
Hollow Square
Reception
Rounds
Staging
Theater/Lecture/Auditorium
U-Shape
Head Table
Perimeter Seating
Podium
Registration Area
Riser
Other - Please Specify:

Note: Above setups may be limited due to space configurations or permanent furnishings that we are unable to remove. Furnishings may also be limited within our inventory and in order to accommodate, larger-scale setups may require outside rentals.
Audio Visual Equipment Requirements
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Event Video/Audio Recorded **
Floor Stand Mic
Lectern and Microphone
Overhead Projector
Slide Projector
TV-DVD
TV-VCR
Video Projector (LCD)
Wireless Microphone
Other - Please Specify:

Note: All media varies by meeting space or classrooms campus-wide and are not guaranteed. Equipment may, however, be available for additional fees to lease or rent, so check with a Conferences and Events Representatives about availability.

**For Event A/V Recording: Additional labor fee would need to be included

Food Service
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Click here to view catering information (this will open in a new window)
Yes    No   
If yes, for which meals? Breakfast    Lunch    Dinner
Please indicate your needs for the following services:
Buffet Yes    No   
Banquet Yes    No   
Reception Yes    No   
Boxed Lunch Yes    No   
Beverages/Snacks Yes    No
If yes, when? Morning    Afternoon
Coffee Break Yes    No
If yes, when? Morning    Afternoon
Alcohol Served Yes    No   
Serving Time(s)
Please indicate any Food Allergies or Dietary Restrictions:
Special Requests
Summer Group Information
If you are not signing up for Summer Program conference/event services,
Click Here to skip this section.
Housing
Available for outside summer groups ONLY (June 1 - August 1)
Please indicate the number needed of each of the following room types
Doubles * #
Singles * #
Apartments #
Note: All residence halls have 'loft' beds. Therefore if any of your attendees have special needs, we will accommmodate on a case-by-case basis.
Linen Service
Please indicate the number needed of each of the following linens
($Rental Fees Apply$)
Sheets #
Towels #
Pillows #
Blankets #
ADA Requirements
Parking
Please indicate the number needed of each of the following parking permits
Overnight #
Day #
Note: Parking lots will be assigned in advance and supplied with parking permits
Special Parking Requirements
Terms
Click here to read our Conferences and Events Reservation Policy Agreement
(this will open into a new window)
I have read the Reservation Policy Agreement and agree to the terms *
Requestor Name *
 Date *
MM/DD/YYYY