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The Rockefeller University Facilities Rental Application
* Required
Name of organization:
*
Your answer
Organization type:
*
Not-for-profit
For-profit
Event date(s):
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Your answer
Are date(s) firm?
*
Yes
No
Name of event:
*
Your answer
Event type/purpose (i.e, symposium, lecture, meeting):
*
Your answer
Rental start time(s) and end time(s):
*
Your answer
Event start time (s) and end time(s):
*
Your answer
Number of attendees:
*
Your answer
Attendees:
*
Scientists/Physicians
Lay Audience
Other:
Required
Room(s) and/or space(s) requested (if known):
Your answer
Food service needed?
All organizations renting space at RU must use the University's in-house caterers, Restaurant Associates
Yes
No
Breakfast
Coffee Breaks
Lunch
Reception
Dinner
A/V service needed?
Yes
No
Number of staff from your organization who will be onsite to manage event:
Your answer
Is this a ticketed event?
*
Yes
No
Does event involve fund-raising?
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Yes
No
Have you rented at RU before?
Yes
No
Contact person:
*
Your answer
Title:
*
Your answer
Phone:
*
Your answer
E-mail:
*
Your answer
Organization website address:
*
Your answer
Billing address:
*
Your answer
Onsite contact phone number (i.e. day of event contact):
*
Your answer
How did you hear about Rockefeller?
*
Referral
Website
Attended event on campus
Other:
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