Diocesan Pastoral Center Room Request

Department Name:
Name of your Meeting:
Date of Your Meeting:
Your First Name: Your Last Name:
Your email address: Not required. If entered you will be copied on the room request.
Host(s) Name for the Meeting: Phone:
Meeting to Begin at: and will end at:
Need set up by date: time:
Must have number of guests attending:
Requesting the use of the Chapel: Mass Time:
Name of Priest Presiding:
Worship & Liturgy Aid: Music Needed:

FOR FOOD ARRANGMENTS PLEASE CONTACT KITCHEN MANAGER AT EXT: 2338

Check all that apply:

Laptops: How many?
Infocus Projector
Computer Cord 10 FT.
Computer Cord 25 FT.
Extension Cords
Power Strip
Microphone/Cord 25 FT. 50 FT. 100 FT.
Lavaliere Microphone/Set up
Stand Microphone
Overhead Projector
Podium
White Board/Dry Erase Markers & Eraser
Flip Chart Stand/Paper
Speaker Phone/Conference Phone
Banquet Conference Seating  
Round Tables Seating
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Classroom Seating      
U-Shape Seating     ∩

Note: Building services will setup loaner equipment prior to start time. Building Services or Security will pick up loaner equipment at time indicated. All loaner laptops have full MS Office Suite (includes PowerPoint & Publisher), Adobe Reader and Internet Access.