Simmons Hall Reservations

Reservations

Please fill out the following form. Your information will be delivered to the Simmons Hall Reservaion Chair. Please contact <address obscured> with any questions.

Fields marked with a * are required.

Contact Person Information
*Name:
*Phone:
*Email:
Room Number:
*MIT Affiliation:
Group Information
Group Name:
MIT Affiliation:
Cost Center:
G/L Account:
Event Information
*Event Title:
Description:
*Date and Time: including setup and teardown times	from : to :
*Location Desired:	I would like to use the MPR A/V Equipment
*Estimated Attendance:
*Admission/Registration Fees:
*Event is:
*Alcohol:
*Music:
*Is anything being sold?
*Food:	I would like information about catering options from MIT.
*Intended Audience:
What Simmons Equipment would you like to use?
Additional Information:

* On behalf of the above organization, I agree to adhere to all Institute policies and procedures and laws of the Commonwealth of Massachusetts. I will contain event attendees in the event space and not allow them to wander around the rest of Simmons Hall. I agree to pay for any damages caused by my event. If any of the information I provide is false or misleading, I agree that Simmons Hall can fine me and/or my group.

Contact Person Information

Group Information

Event Information