Event Details Please provide the date(s), title and time of your event should be held. Event Name Estimated Attendance Event Date Event Type Banquet Class Conference Exhibit_Fair Info_Session Lecture Meeting Reception Special_Event Weekly_Meeting Event Start Time Event End Time Arrival Time (for setup) Departure Time (for breakdown) Room and Equipment Needs Please tell us your preference as to where the event should be held and what equipment you'll be providing or requiring. (Room preference and room setup is not guaranteed). Room Preference Flying A Studios Room Goleta Valley Room Santa Barbara Mission Room Chumash Room State Street Room Lobero Room Santa Barbara Harbor Room Room Setup Banquet Chairs in a Circle Classroom Conference Empty Room Lecture Open Square U-Shape Reception Do you require catering for your event? No Yes Will your event be using Zoom equipment or need an ethernet connection? Equipment Needs Easel Easel with Paper Pad Large Rolling White Board Floor Podium Registration Table Sign Holder (11x17) Wall-Mounted White Board and Paper Pads AV Equipment Needs 1. Screen, Data Projector, UCen Laptop (all equipment provided by UCen) 2. Screen, Data Projector, Client Laptop (client providing own laptop) 3. Screen, AV Cart (Client providing own data projector and laptop) 4. Screen Only (Client providing own data projector on cart and laptop) Type of Laptop PC Mac If you bring your own laptop, please provide additional details below Laptop Model Does your laptop require a VGA or HDMI adapter? No Yes Contact and Billing Information Along with your event request please provide us with your contact and billing information. Group Name Group Type Registered Student Organization / Associated Students Group UCSB Campus Department University Extension Off Campus Off Campus Billing Address Please submit recharge # Full Name Telephone Number Fax Number E-mail Address Additional Notes/Comments Submit