MCCC Facilities Reservation Permit Request
Name of the Group/Dept./External group Permit #
If E
xternal Group Billing Address:
1st C
ontact: Phone #
Ema
il Address Fax #
Required or write in “not available!”
2nd Co
ntact: Phone #
Ema
il Address:
Even
t Name:
Num
ber of Guests: Building: Date Received: Date E-mailed:
Eve
nt Date(s): and/or and/or
Month/Day Month/Day Month/Day
Eve
nt Schedule:
Customer Set Up: Event Start Time: End Time:
Room(
s) Requested:
Room Set-up:
AV E
quipment? Yes No Meyer Theater Equipment? Yes No HEB Equipment? Yes No
Hum
an Resources? Yes No Food Service? Yes No
AV Equipment (Daily):
Meyer Theater / HEB Equipment:
Human Resources Fees:
Computer/Data Projector $40 AV Technician $30/hr
DVD Player $20 College Liaison $45/hr
Floor Cover $200 IS Technician $35/hr
Follow Spots $10 Maintenance $30/hr
Orchestra Pit $600 Custodial $30/hr/3 hr. minimum
Orchestra Shell $250 (normal w/o shell) Security $30/hr
Piano, Grand $100 Special $115/maximum
Piano, Electronic Keyboard Technical Director $40/hr
Podium, Floor Standing (w/sound) $25
Risers $50
HEB Equipment:
Badminton/ Volleyball Net $30 per net/hr
Bleachers $15/hr (standard set-up is 3 rows on each side)
Camcorder w/Tripod $75
Computer/Data Proj/DVD/with Internet access $40
Computer, Laptop $40.
Flip Charts/Easels $20
Microphone, Floor Standing $20 Microphone,
Table Top $10
Microphone, Lavaliere / FM Wireless $20
Microphone, Handheld Wireless $20
CD Player
Podium, Floor Standing (w or w/o sound) $25
Podium, Table Top $10
Extension Cord $5
Portable Sound System
Power Strips $5
Yes, I would like to receive a copy of MCCC’s Policy and Procedures
for use of physical resources.
P.M.
P.M.
P.M.
Please choose a room set-up
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