ASU MIX CENTER |TOM AND RUTH NESBITT COMMUNITY ROOM REQUEST APPLICATION

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The purpose of the ASU MIX Center Tom and Ruth Community Room is to empower the community’s use of the MIX Center’s assets. The Community Room is available for public use by request, with priority given to those who reside in the surrounding neighborhoods and to organizations, projects and activities that don’t have physical space to meet and are otherwise under-resourced. A committee of the Mix Center Community Action Board provides support to and regularly reviews requests for facility access and resources in keeping with our Board Mission Statement.

Your name (and main contact of the event) *

PHONE NUMBER: *

EMAIL: *

ORGANIZATION (if applicable):

What best describes your event? *

I am a Mesa resident and want to rent the room for personal use for a social gathering or event

I want to rent the room for ASU Department Use

I am with a nonprofit organization and want to rent the room for an organizational event

I am with a for profit organization and want to rent the room for an organizational event

Other:

*If you chose other as your description of your event, please add additional info here:

NAME OF EVENT *

EVENT DATE: *

YYYY

EVENT START TIME: *

Time

EVENT END TIME: *

Time

PRE-EVENT SET UP TIME:

Time

POST EVENT CLEAN UP TIME:

Time

What is the expected attendance? *

Is this event open to the public? *

Yes

The Community Room has access to wi-fi, computer & lectern, overhead projector & screen, tables on wheels & chairs. The room can be arranged however suits your event, but does need to be returned to the original set up. I acknowledge that I will ensure the room is returned to the original table set up I found it in and nothing will be left in the room beyond trash in the trash cans. *

Option 1

Yes

Fee Structure for Room Use is as Follows

REQUEST FOR FEE REDUCTION:

Please note that fees collected for room use are used for community programming. Priority for waivers is given to those who reside in the surrounding neighborhoods and to organizations, projects and activities that don’t have physical space to meet and are otherwise under-resourced.

Yes

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