the Cerf Center

- Reservation Request Form -

Event Date

- - (mm-dd-yyyy) *required

Ten business days notification is required prior to event date for request consideration.

Start Time

*required

Event Name

*required

End Time

*required

Contact Information:

Billing Address:

Last Name	*required
First Name	*required
Address	*required
City	*required
State	*required
Zip	*required
Phone	*required
email	*required

Last Name	*required
First Name	*required
Address	*required
City	*required
State	*required
Zip	*required
Phone	*required
email	*required

Event Description:

Number of Attendants:

College Department or Student Organization

Not-for-Profit Group

Non-College Group or Individual

Tax ID#
*required for non-profits

Room(s) Requested:				Av Needs: (rental rates apply)
President's Dining Room		North Terrill Room		Lavaliere Microphone		Overhead Projector
SPS Conference Room		South Terrill Room		Microphone		TV/VCR/DVD Combo
Becker Auditorium		Moser Lobby		Data Video Projector		VCR/DVD/ Data Video Projector
Terrill				Computer/Data Video Projector
Other

Requested Room Set-Up:

Catering Information:
Exclusive catering is provided by Sodexho, our on-campus food service provider. All food and beverages served at meetings or events on campus must be arranged through Sodexho. Please contact the Food Service Director at (309)467-6357 to coordinate catering requests.
Refreshments		Bar		(with approved Alcohol Use Agreement Only)
Meal		Eat in Commons
None