Meeting & Event Reservation and Contract Meeting or Event Title * Name of Meeting or Event Onsite Contact Person * This person must be available onsite to sign for any changes Christy Beason is your contact while onsite if you have any questions or issues with your meeting. Onsite Cell Phone Number * Email * Meeting Date * 2017-07-27 2017-07-28 2017-07-29 2017-07-30 2017-07-31 2017-08-01 2017-08-02 2017-08-03 2017-08-04 2017-08-05 2017-08-06 Day of the Week Meeting Start Time (am / pm) * Meeting End Time (am / pm) * Expected Number of Attendees * Please choose one of the following setup styles for your meeting or event. Room reservation fee is $100.00; room assignments to be announced 30 days prior. Meeting Room Setup * Boardroom U-Shape Hollow Square Banquet Crescent Rounds Theater/Auditorium Chevron Theater Classroom Chevron Classroom Reception Other Setup Explanation Please explain "Other Setup" request. Total Chairs Needed * Extra Table(s) Needed (specify number) Additional Requests Keys Re-Key Room with up to 5 keys - ($150 restricted access) Key Card ($5 each, not restricted to hotel personnel) Keys for meeting room (Designate number of keys) Please indicate which of the following A/V items you will need. All prices are inclusive of all additional fees except where indicated. Please be specific, as not all equipment may be available onsite. ASI may not be able to guarantee pricing or equipment availability for onsite requests. Wireless Internet 1 user/$48 per connection, per day, specify how many users below), 2-9 users/$40, 10-14 users/$32, 15-19 users/$28 and 20+ users/$24 LCD Support Package 8x8 ($298 - includes 8x8 screen w/skirt, power strip, extension cord, 1 VGA cable, LCD skirted projector cart, and tech support) LCD Projector Package ($741 - includes LCD 3,000 lumens projector and all items from LCD Support Package 8x8) LCD Support Package w/7x12 Screen Upgrade ($598 - includes 10x10 screen w/skirt, power strip, extension cord, 1 VGA cable, LCD skirted projector cart, and tech support) Wired Mic w/floor, table or lectern stand ($321 - Includes: house sound, audio mixer and stand/specify which Mic. below) Wireless Handheld or Lapel Mic ($175 - specify which Mic. below) Wireless Presenter ($55) Power Strip ($44.00- includes plug-ins for 5 computers) (specify total # of computers below) Polycom Speaker Phone ($225.00/day - includes Direct Inward Dialing w/unlimited local and 800 calling, no international calls) Standard Phone ($100/day) local and 800 calling ($1 for the first hour and .10 each additional minute). Long distance calls - charges will vary. DID Phone Line with outside access/ATT access ($150.00/day) charges are over and above cost of phone. White Board w/markers and eraser ($85/day) Paper and Pen (no charge at head table) Paper and Pencils ($5 per table) Lectern (no charge/limited availability) Other (please specify) Additional Items Please specify if you need more than one of any of the above ordered items. Please indicate which of the following meal items you will need. Please include additional food requests below, such as special dietary needs, etc. All meals include a beverage, and all buffets include a dessert. Please refer to the Meetings & Events Menus. Continental Breakfast (All Days) - $14 Child Continental Breakfast (ages 3 to 12 yrs. - $11, specify # of children below) VEGAN Breakfast (All Days) - $23 VEGETARIAN Breakfast (All Days) - $23 Child Breakfast (ages 3 to 12 yrs. - $17, specify # of children below) Italian Buffet (Wed/Fri/Sun ONLY) - $24.50Choose (1) Entree: Eggplant/VEGAN (OR) Lasagna/VEGETARIAN Pizza (OR) Ravioli Buffet (Mon/Thurs Only) - $24.50Choose (1) Entree: Pizza (OR) Ravioli Burger & Salad Buffet/VEGETARIAN (Tue/Sat Only) - $24.50 Burger & Salad Buffet Soup & Sandwich Buffet (All Days) - $24 Soup & Sandwich Buffet Soup & Salad Buffet (All Days) - $20.50Choose (1) Soup: Tomato / Vegan (OR) Broccoli Cheddar / Vegetarian (OR) Potato Soup / Vegetarian Child Lunch/Dinner Buffet (ages 3 to 12 - $19, specify # of children below) Child Buffet Other Water Pitchers (no charge - refill as needed) Candy Dish (no charge) Please indicate which of the following A-LA-CARTE meal items you will need. Muffins and Breakfast Breads - $4 each. Assorted Large Cookies - $5.50 each Mixed Nuts - $6 per person Sliced Fruit Platter - $5.50 per person Pita Chips & Hummus -$8.50 per person Pita Chips & Spinach Dip - $8.50 per person Chips and Salsa - $5.50 per person Veggie Platter w/dip -$7.75 per person Bottled Lemonade -$4.00 each Bottled Water - $3.75 each Bottled Juice - $3.75 each Decaf Coffee -$4.75 per person Regular Coffee - $4.75 per person Whole Fruit - $3.75 each Assorted Teas -$4.75 per person Medley of Cut Peaches, Lychee & Cherries - $5.25 per person Quantities Please indicate quantities of meal items ordered above. * Additional Food Requests or Special Dietary Needs Total Guarantee For Meals (additions/deletions accepted up to 7 days prior) * Serving Time (am / pm) Authorized Signature (enter name of authorizing individual) * Email - (enter email of authorizing individual) * Signature Date * If you are human, leave this field blank.