Facility Use and Rental Form - SUNY Westchester Community College

Rental

Facility Use and Rental Form

Information

Name of Organization *

Federal Tax ID (EIN) *

Address

(street, city, state, zip code)

Primary Contact Name *

Telephone

Email *

Alternative Contact Name

Telephone

Event description and purpose

If this is an affiliation or partnership with Westchester Community College or one of its units, please describe the relationship here.

Maximum number of participants expected

Admission charge (if any)

Will food and/or beverages be served at the event?

Yes

No

Will members of the news media attend the event?

Yes

No

Will minors attend the event?

Yes

No

Date requested

If more than one date is requested, please provide dates here

Start time

Setup time (if different)

End time

Breakdown time (if different)

Technology needs (check all that apply)

Microphone/podium

Computer/projector/screen

Additional comments

Captcha *

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