Chemeketa SBDC Tech Hub Request Form
Email:
Affiliation:
Name:
Phone:
Facility/Area: SBDC Tech Hub, Room 202
Event/Purpose:
Requested Date of use:
Time of use:
Fees:
☐ $40.00 per hour ☐ Half-day ($120.00) ☐ Full day ($225.00)
After hours usage (Business Hours are 8:00 am – 5:00 pm): add $10 per hour
Media Usage (check all that apply):
☐ NA ☐ Fully functioning instructor workstation with laptop hookups ☐ Secure Wi-Fi Network
☐ LG 75” Flat Screen TV ☐ HP Laser Jet Office Printer ☐ Telephone (if charges incurred, at user expense)
☐ 8 Dell PC Workstations
Technical and admin support provided. Coffee and water plus set-up provided.
Rental Information:
After submitting the Tech Hub Request Form, you will receive an email response containing your rental fee quote. This is
only a quote, and the Tech Hub is not officially reserved until you email back your approval of the quote and sign the
Facility Use Agreement. After signing the Facility Use Agreement, you will receive a confirmation and your lab will be
scheduled.
A list of attendees and their contact/emergency contact information must be supplied prior to the date of use.
Chemeketa Small Business Development Center
626 High Street NE Salem, OR 97301 503-399-5088 sbdc1@chemeketa.edu
