Fillable Conference And Meeting Facilities Request Form (Georgia Piedmont Technical College)

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Conference And Meeting Facilities Request Form (Georgia Piedmont Technical College)

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Primary Contact Name
Company/Organization Name (if applicable)
Street Address
City State Zip Code
Phone Number Phone Number 2 (optional)
E-mail
Secondary Contact Name (optional)
Secondary Phone Number Secondary Phone Number 2
Secondary E-mail
Event Date(s) Expected Amount of Attendees*
Name of Event Type of Event
What time would you like to enter the building? Event start time
Event end time What time will you and your guests leave the building?
Total Reservation Hours
Your “Total Reservation Hours” is the duration of time from the time you enter the building until the time that you leave
the building. Please take into consideration the amount of time that you would need for activities such as decorating,
setting up catering, seating guests, and the time after your event needed for clean-up
.
Form revision date: 4.9.20
GPTC CONFERNCE CENTERS
RESERVATION REQUEST FORM
CONFERENCE & SPECIAL EVENTS
Thank you for your interest in hosting your event at Georgia Piedmont Technical College.
Please complete this request form so that we can understand your needs and develop a proposal for
Desired Location
DEKALB CONFERENCE CENTER: 495 North Indian Creek Drive, Clarkston, GA 30021
NEWTON CONFERENCE CENTER: 8100 Bob Williams Parkway, Covington, GA 30014
CUSTOMER INFORMATION
EVENT INFORMATION
*Events with over 225 attendees may require an additional deposit
SETUP INFORMATION
Banquet
Boardroom
Hollow Sq.
Theater
Other/Custom
U Shape
Continue to page 2
Georgia
Will you be serving food?
If you answered "yes", do you plan to use on of our approved caterers (applicable at the DeKalb Conference
Center only)?
NOTE: Use of an unapproved caterer at the DeKalb Conference Center will incur an additional $150 fee.
Please click here for a list of DeKalb Conference Center approved caterers.
Will you be serving alcohol?
NOTE: Events with alcohol must follow all policies found in Section VIII of the GPTC Conference and Meeting
Facilities Rental Agreement including having a licensed bartender and paying for at least one GPTC Police
Officer.
If you will have music at your event, please indicate how the music will be played:
CD, playlist, or streaming
A/V services and equipment may be added to your reservation. Some items require additional fees. Please
indicate if you need any of the following:
Projector/screen (2 hours included with your reservation at no charge. Additional time charged at $50/hr.)
Laptop Podium Microphone
Teleconferencing capabilities Specialty lighting Dedicated A/V Technician ($250)
Qty.
Dance Floor ($200)
Qty.
Stage ($50 per 6'x8' piece, up to four pieces)
Qty.
Flip chart/dry erase board ($5 ea.)
Qty.
Easel (1 at no charge; $5 ea. additional)
Qty.
Please indicate if you need any of the following:
Power strip/extension cord ($5 ea.)
Qty.
Centerpiece ($10 ea.)
Qty.
Rectangular table cloth ($10-15 ea.)
Qty.
Round table cloth ($10-15 ea.)
Please indicate if you need any of the following:
Table skirts --
--
--
--
--
--
--
--
Grand Piano ($150)
CATERING INFORMATION
ALCOHOL INFORMATION
Live musicians, band, or performers DJ
AUDIO/VISUAL EQUIPMENT & SUPPORT
MUSIC INFORMATION
OTHER ITEMS
& SERVICES (AVAILABLE ONLY AT THE DEKALB CONFERENCE CENTER)
Thank you for submitting your request. Please allow up to five business days for processing.
Note that this request form is non-binding, and your reservation is not confirmed until you have
a paid any applicable deposits, signed and returned the Facilities Rental Agreement, and
received electronic confirmation of your reservation.
Wireless presentation remote
TABLE LINEN & DECOR (AVAILABLE ONLY AT THE DEKALB CONFERENCE CENTER)
Click to submit by e-mail to DeKalb Conference Center
Click to submit by e-mail to Newton Conference Center
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Conference And Meeting Facilities Request Form (Georgia Piedmont Technical College)

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Completed 25 July 2020

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