Contact Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Event Name
Event Date
MM
DD
YYYY
Event Start Time
Hour
Minute
Second
AM
PM
Requested Location or Room for Event
Estimated Number of Attendees
Short Description of Event
Please indicate any set-up or break-down requirements you may have for your event.
If you are anticipating a lot of clean-up, breakdown or trash removal needed after your event, including washing any table linens, please plan to ask your committee and/or volunteers to help with that. Kindly respect the space throughout your event and plan to leave it in the condition you found it in.
Will you be serving food and drinks at this event?
By serving food and drinks, you agree to adhere to the UCMI Food and Safety Policy.
Yes
No
Will you need to use any of the following appliances?
Fridge
Freezer
Drink Cooler
Other:
Will your event require ticket sales?
Yes
No
If you will need a petty cash box available, please indicate the date you will need it by and any breakdown of cash needed
My event will require a sign-up sheet
Yes
No
Does your event have a max # of attendees
Yes
No
I would like this event advertised in the following mediums
Social Media
Email
Text Message
Newspaper Ad
Newspaper Press Release
Marco Island Radio Station
MI Chamber of Commerce
Other:
Print Marketing
I will be including multiple events for my committee on a single marketing material
I will need the following marketing material(s) designed for this individual event
Would you like press coverage at your event if possible?
Yes
No
Please describe any other marketing requests you may have
Please Select Audio Needs for Disseler Hall
Wireless Handheld Microphones (Max 2)
Wireless Lavalier “clip on” Microphones (Max 2)
Wired Handheld Microphones (Max 2)
Omnidirectional “orchestra, audience, whole stage” Mics (Max 2)
Please Select Audio Needs for the Sanctuary
Wireless Handheld Microphones (Max 4)
Wireless Lavalier “clip on” Microphones (Max 2)
Wired Handheld Microphones (Max 2)
Omnidirectional “orchestra, audience, whole stage” Mics (Max 2)
Pulpit Microphone
Lectern Microphone
Audio Streaming?
I will need audio streaming via CD, Bluetooth, etc.
Please Select Video Needs for Slideshows, Videos, etc. in Disseler Hall
Drop Down Screen and Projector Needed
Laptop Needed
HDMI Cable Needed
Please Select Video Needs for Slideshows, Videos, etc. in the Sanctuary
Stand up Projector Screen Needed
Mobile Projector Needed
Laptop Needed
HDMI Cable Needed
Please Select Video Needs for Slideshows, Videos, etc. in the Narthex
TV Screen Needed
Laptop Needed
HDMI Cable Needed
A Flash Drive is Being Provided
Live Streaming and Recording
This event will be livestreamed
I would like this event to be recorded, but for private viewing only by those with the link.