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State of Louisiana - Division of AdministrationClaiborne Conference Center

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Claiborne Conference Center Room Reservations Form
   
Point of Contact

Full Name of Requestor:
Phone Number:
Email Address:
Fax Number:
Meeting Information

 
 
Claiborne Tenant?
If yes, Suite #
Title of Meeting:  
Meeting Start Date: Meeting End Date:
Meeting Start Time: Meeting End Time:
Number of Attendees:  
OR
Room Requirements
 
Total Number of Chairs:
Additional Instructions:

Requested Equipment:
(Subject to Availability)

Qty:
Qty:
Qty:
Qty:
Qty:
Flip Chart Qty:
Projector Qty:
Wireless Internet
*Video Streaming Start Time   End Time
Video Conferencing Start Time   End Time
Additional Remarks:

*A separate form is required when selecting the video streaming option. Please click here for more information.
   
Non-Claiborne Tenants Only

This section to be completed by Non-Claiborne Tenants:
(Please reference room and equipment charges listed on the website)
Invoice Information:
Company or Individual's Name:
Company Contact Name:
Billing Street Address/P.O. Box:
City:
State:
Zip: