Space Solutions Request

Space Solutions Request
Today's Date *

Month Day Year
Date
Organization Information
Organization Name *
Billing Address *
City *
State *
Zip *
Event Information
Description of Event *
Event Date(s) (beginning date) *

Month Day Year
Date
Event Date(s) (end date) *

Month Day Year
Date
Event Name (i.e. How do you want your event listed on the WTC lobby monitor? Limit 18 characters) *
Are you charging a registration fee? *

Yes No
Amount?
Are fees collected in advance? *

Yes No
Selling products or services? (describe)
Who will be attending? *
Expected # Attending *
Configuration *
Configuration varies by room type and size.
Equipment Needs *
Computer Lab Software *
Software must be provided at least 10 business days prior to event.
Contact Information
Name *
Phone *
Email *
example@example.com
Fax *
Alternate Contact Information
Name
Phone
Email
example@example.com
Fax
Other Information
Does presenter need internet? *

Yes No
Will audience need internet? *

Yes No
Is wheelchair access anticipated? *

Yes No
Are you a designated third party vendor or independent contractor? *

Yes No
Organization
Contact AVS or IT Technician for WTC computer/technical support at (505) 224-5200.

Price Discount: If your organization is 501(c)(3) you are entitled to a 25% discount. Include a copy of your official IRS 501(c)(3) certificate when you return your signed contract or the full rate will be charged.

Governent agencies do not need to provide their 501(c)(3) certificate.

Cancellations must be submitted in writing to spacesolutions@cnm.edu.
Should be Empty:

Space Solutions Request

Organization Information

Event Information

Contact Information

Alternate Contact Information

Other Information