Institute for Genomic Biology: University of Illinois at Urbana-Champaign
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34 Animal Sciences Lab
1207 West Gregory Dr.
Urbana, IL 61801
p: 217.244.3034
fax: 217.265.6800
* denotes a required Field
Space Request Form
Contact Information
Name: *
Phone: *
Email: *
Faculty Sponsor: *
Dept/Research Theme: *
Event Date and Times
Start Date: *
Start Time: *
End Time: *
General Event Information
Nature of Event:
- - You may select more than one- -
Conference or Workshop
Breakout Sessions
Seminar or Lecture
Meeting
Coffee Breaks
Breakfast
Luncheon
Dinner
Reception
Title of Event:
Description of Program or Event:
Rooms:
Room Number: *
- - select - -
Conference Center
Gatehouse - 2nd floor (room #2614)
Room Configuration (Conference Center only):
VIEW
Rooms
A
-
B
-
C
-
D
-
E
No Preference
A
B
C
D
E
Participant Information:
Expected Attendance: *
Is this event open to the public? *
Yes
No
Information for IGB Calendar:
Post in IGB Calendar? *
Yes
No
Name of Speaker:
Affiliation of Speaker:
Title of Talk:
Sponsor of Talk:
Name of Speaker:
Affiliation of Speaker:
Title of Talk:
Sponsor of Talk:
Food or Beverages:
Approved Caterer:
- - select - -
Cameron's Catering
, 359-8661
Classic Events
, 367-7118
Illini Union / Dining Services
, 333-0126
Michaels Catering
, 351-2500
Serving Alcohol? *
Yes
No
Equipment Requests:
- - You may select more than one- -
Cassete Tape Recorder
Computer Projector
Digital Camera
DVD/VHS Player
Easel
Slide Projector
Tripod
Video Camera
Video Cart
Video Conferencing System
White Board
Networking:
NOTE:
Connecting computer to the network without current security patches and updated anti-virus software protection may result in the network being disabled during your event. For network assitance, contact the IGB Computer & Network Resource Group (CNRG).
Does your event require networking? *
Yes
No
Account Information:
NOTE:
The IGB reserves the right to determine need for additional security staff, F&S maintenance, and other services to restore the room(s) to the condition prior to the event and may assess charges to recover such costs.
CFOP Account:
C: *
F: *
O: *
P: *
Comments: