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CCBC Event Request Form
Please fill out form.
Name of Event
please enter your department name
Date of Event
please enter your Preferred date of event (alternative date if necessary):
Start Time of event
What time will your event start
End time of event
What time will your event end
Type of Event
(meeting, reception, conference, seminar, luncheon, etc.):
Anticipated Number of Guests
Please select size
1 to 30 people
31 - 80 people
81 - 150 people
150 plus
Room Size Needed
Please select size
Small | up to 30 people
Medium | up to 80 people
Large| up to 150 people
Dome | up to 2,000 people
Will Food Service be Needed:
Please select one
Yes
No
Using Own Service
Need Information about services
Will Audio Visual Equipment be needed:
Please select one
Yes
No
Using Own Service
Need Information about services
Contact Name
Tell us who the contact name is
Phone Number
xxx-xxx-xxxx
Email
YourEmail@email.com
Best Time to Contact You
Please select time
Morning
Afternoon
Additional Information
Additional Information
Submit