Conference Room & Equipment Request Form

Conference Room Reservation Request Form

To request a room or equipment reservation, please complete the form below; if you have any questions, please contact Angela Pajur.

Direct Dial:  517-546-5550     Email:  angelapajur@livingstonesa.org


Denotes a required field.

Today’s Date:  *

Booked By: 

Organization Name: *

Email Address: 

Address: 

Contact Number: 

Bill To: 

PO Number: 

Event Title: *

Event Description: 

Event Date(s): *

 

Room(s) Requested:*

Brighton Room (seats up to 10)

Innovation Center (please call for availability)

Collaboration Center (seats up to 24)

Leadership Center A (seats up to 25)

Early Childhood Conference Room (seats up to 10)  

Leadership Center B (seats up to 30)

Fowlerville Room (seats up to 6)

Leadership Center C (seats up to 40)

Hartland Room (please call for availability)

Leadership Center A, B & C (seats up to 100)

Howell Room (seats up to 16)

Pinckney Room (seats up to 6)

 

 

Meeting Begin Time: *

Meeting End Time: *

Setup Begin Time: 

Breakdown End Time: 

Number of Attendees: *

 

Please indicate service requests:

Event Setup (Service Description): 

 

Food Service (Service Description): 

 

Audio/Visual/Technology (Service Description): 

 

 

Event Visibility:

Upon request, LESA will display information regarding your meeting/conference on our website;

please select: 

Yes     No

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