Event/Meeting Request  
 
Sign in to Google to save your progress. Learn more
Main Point of Contact (POC) Name & Title *
POC Email *
POC Phone Number *
Type of Event/Meeting *
Required
Event/Meeting Name *
Please Provide a Brief Description of the Event *
Event/Meeting Date *
If the event is multiple days, include the date range in the next question.
MM
/
DD
/
YYYY
Date Range:
If the event is multiple days, include the date range in the next question.
Event/Meeting Start Time: *
Please include set up.
Time
:
Event/Meeting End Time: *
Please include tear down.
Time
:
How are you affiliated with the ASU MIX Center? *
What organization is the event/meeting for? *
Will you be able to provide insurance? *
Unless this is an ASU-sponsored event, a certificate of insurance (COI) is required. Vendors for ASU-sponsored events must provide COIs. For more information, visit  Insurance Required from vendors | Arizona State University
Location Request *
Costs may apply. Please look below at the next section for the corresponding costs, and then check the box for the space(s) you are interested in.
Required
Pricing Information
Pricing information 
Captionless Image
Clear selection
Terms and Conditions
Captionless Image
Walkthrough Date/Time
If desired, please provide a potential walkthrough date/time. Subject to availability.
MM
/
DD
/
YYYY
Time
:
Dress Rehearsal and/or Tech Rehearsal Dates/Times
Only if needed.
Main Speaker/Host/Guest *
The person or people leading the event/meeting and their title.
Will this event be private or public? *
Who will be in attendance? *
E.g. Board members, ASU Students, ASU Staff or Faculty, Students of another school, Government Employees, etc...
How will this event be marketed? *
Anticipated Total Attendance *
How will this event/meeting track attendance? *
ASU requires that attendance numbers are reported for each event/meeting held on ASU property.
How will guests register or obtain tickets for this event? *
How will this event/meeting be funded? *
Required
Are you collaborating and/or sponsoring this event with another individual or organization? *
If your answer to the previous question was 'Yes', please specify:
Is there a registration fee, admission charge, required donation or any fee required of those participating in your event? *
Audio and Video needs  *
Other technology and/or physical setup needs *
Will you provide catering at the event/meeting? *
If so, who is catering?
Will you need security at the event? Additional Charges Apply *
The MIX has constant security monitoring the building, but if you would like event security that is an additional charge.
Will there be alcohol? (A liquor license can take time and is up to the client to obtain) *
What is the Public Purpose of this event/meeting? *
MIX Center Mission Statement: To create a world class center at the leading edge of media technologies and practices that brings students, faculty, community and industry together to design, visualize and explore transformative, imaginative futures.
Please list any anticipated high profile attendees below who will either be speaking, attending, or invited to your event. These may include political figures, celebrities or ASU senior level administrators (deans, vice presidents, etc): *
Please list any news outlets or media that will be present or have been invited to the event:
Will you be utilizing any contracted vendors or outside services for your event? *
If you answered 'Yes', please list all of the names below:
Special Requests?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Arizona State University.

Does this form look suspicious? Report

Google Forms