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P 0 APPLICATION FOR USE OF PUD FACILITIES <br /> RAMC UTILITY DISTRICT No.1 Electric Building Training Center -AUDITORIUM <br /> 1.APPLICANT INFORMATION: �l Application Date: '//YI/Z O I —7 <br /> Name of Applicant: Ail <br /> OVA <br /> Organization Name: C.Cf-\( Of <br /> Government Agency?(Please select one) 0 Yes ❑No <br /> Please select one: ❑ For-Profit Group ❑Not-for-Profit Group (Please provide 501c) <br /> Mailing Address: 24-13u V\.je.:1"}`V1GY ')l! ( +f'/ City/State/Zip: L'\s ' r(AJi 9(3- Z 0 <br /> Daytime Phone 02 --2627- 71 9(5 Evening Phone X <br /> Fax: Email: ) lAA{S b/1�`'' <br /> 2. EVENT INFORMATION A <br /> Name/Type of Event: 1V161(1—C. <br /> CIZ(S ) 0., 1l2CA1 Expected Attendance: -1;ZOU-ZS 6 <br /> 3.DATE(S)AND TIME(S)REQUESTED <br /> Single Use on: 1,Cy Al2 12, 2,6 i <br /> ❑ Regular Use: ❑ Weekly on of each week <br /> ❑ Monthly on of each month <br /> Start Time: <br /> 2 1,1, End Time: 11,2171.'L, <br /> 4.FACILITY(S)REQUESTED <br /> *Training Center Auditorium ❑ Training Center Room 2BC ❑ Training Center Room C <br /> ❑ Green Room ❑ Training Center Room lA ❑ Training Center Room D <br /> Kitchenette/Commons ❑ Training Center Room 2A ❑ Training Center Room E <br /> Commission Meeting Room ❑ Training Center Room 2B <br /> 5.ROOM SET-UP*(Commission Room and Training Center 2BC only) <br /> ❑ Theater Style(65 max.) ❑ U-shape(25 max.) ❑ Classroom(32 max.) I(g�,�1 ��G ��/ <br /> *(24 hour advanced notice is required for room style changes) (��� ��Ch c <br /> 6.EQUIPMENT REQUESTED <br /> Audio/visual equipment needed for your meetings may be 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 /> .if.Multimedia Projection ❑ Easel ❑ Wireless Microphone(Auditorium only) <br /> ❑ Overhead Projector ❑ 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)may be subject to the use of a technician and additional fees. <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: <br /> Contract No: Customer No: <br /> Page I <br /> REV:4/17 <br />