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P'111.1111 Li APPLICATION FOR USE OF PUD FACILITIES <br /> . <br /> Electric Building Training Center -AUDITORIUM <br /> PUBLIC UTILITY DISTRICT IV,/ 7 <br /> Application Date: -// /2-0 1 "7 <br /> 1.APPLICANT INFORMATION: pp <br /> Name of Applicant:(..1(1F t <br /> Organization Name: elk( Of z <br /> Government Agency?(Please select one) ' •Yes ❑No <br /> Please select one: ❑For-Profit Group ❑Not-for-Profit Group(Please provide 501c) <br /> Mailing Address: 2150 t IZf rY1r1 P- A kir.. ( '1-e Q t-City/State/Zip: L`\3t,citj/) ' z O <br /> Daytime Phone L12 S_2G-1-7 d 9 S Evening Phone <br /> Fax: Email: 1 In titd3ovIP <br /> 2.EVENT INFORMATION <br /> Name/Type <br /> /{ ( �4-12.604-12.60"Z5 C� <br /> Name/Type of Event: IV <br /> 6I��- ��t 5 t( ) i`1 t, JZC S Expected Attendance: <br /> 3.DATE(S)AND TIMES)REQUESTED <br /> V Single Use on: () VJ i 2/ 2'5! 1 <br /> ❑Regular Use: ❑Weekly on - of each week <br /> ❑Monthly on of each month <br /> Start Time: 2 v\. End Time: 9 OKA <br /> 4.FACILTTY(S)REQUESTED <br /> 'iit*Training Center Auditorium ❑Training Center Room 2BC ❑ Training Center Room C <br /> ❑ Green Room 0 Training Center Room lA 0 Training Center Room D <br /> A Kitchenette/Commons <br /> ❑Training Center Room 2A 0 Training Center Room E <br /> Commission Meeting Room ❑Training Center Room 2B <br /> 5.ROOM SET-UP*(Commission Room and Training Center 2BC only)— f <br /> ID Style(65 max.) ❑U-shape(25 max) UClassroom(32 max) -CI. R`444i 0 C+1 W15 (�1 <br /> *(24 hour advanced notice is required for room style changes) J►�-� <br /> 6.EQUIPMENT REQUESTED <br /> Audio/visual equipment needed for your meetings maybe rented from the PUD.For fees regarding the use of <br /> this equipment,please see Facility Cost Sheet.Equipment must be requested 24 hours in advance to ensure <br /> availability. <br /> Za-Multimedia Projection ❑Easel ❑Wireless Microphone(Auditorium only) <br /> ❑ Overhead Projector 0 Laser Pointer Regular Microphone(Auditorium only) <br /> ❑TV/VCR DVD Player ❑Wi-Fi Access <br /> More comprehensive audio/visual aids(such as technical lighting,advanced sound reinforcement and video or <br /> computer projection)maybe subject to the use of a technician and additional fees. <br /> • <br /> *A PUD technician is required for all events in the Auditorium.Technician Costs:$35 per hour,4-hour minimum. <br /> The use of a technician requires 4 weeks advanced notice. <br /> PUD Staff: Customer No: <br /> Contract No: <br /> Page I1 <br /> REV:4/17 <br /> 37 <br />