Horry-Georgetown Technical College Grand Strand Business and Conference Center FAX: 843-232-1106 PHONE: 843-477-2042 or 843-477-2191 Facility Reservation Form Today’s Date: Event Date: Time In: Event Time: To Contact: (For set-up / breakdown) Time Out: (Actual) Organization: Billing Address: Telephone: Cell: Fax: Other: E-mail: Description of Event: Number Expected: Seating Arrangement: Room #: Classroom Theater Banquet Other Will your event include food?_______ Outside Catering is allowed. $500 deposit required. Kitchen equipment may not be utilized. Audio/Visual Needs: [Please see pricing list.] Slide Projector Overhead Projector TV/VCR Easel Easel w/ White Board Easel w/ Flip Chart Podium VHS Tape Microphone LCD Projector Laptop Computer Computer Lab Set-up Technical Assistance Screen Special Needs: I have been made aware of the guidelines and agree to abide by the terms. ___________________________________________ (Signature) PLEASE SIGN AND RETURN THIS FORM TO: FAX: (843) 232-1106 OR MAIL TO: Horry-Georgetown Technical College Conference Center Grand Strand Campus 743 Hemlock Avenue Myrtle Beach, SC 29577 Today’s Date: _________________ FOR OFFICE USE ONLY: Room Fee(s): A/V Fee(s): Catering Fee(s): Cleaning Fee(s): Other Fee(s) Rec’d. By: _____________________________