Book a Venue Company / Organization* Name of Event* Address of Organization/Company:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of Primary Contact:* First Last Phone of Primary Contact*Email of Primary Contact* Name of Alternate Contact:(In case of emergency.) First Last Phone of Alternate Contact(In case of emergency.)Email of Alternate Contact(In case of emergency.) Are you a non-profit?* Yes No How many days is this event?* One Day Two Days Three Days Four Days Date of Event:* Start date of event:* End date of event:* Start Time of First Day:* : Hours Minutes AM PM AM/PM Please include setup in your time.End Time of First Day:* : Hours Minutes AM PM AM/PM Please include clean-up in your time.Start Time of Second Day:* : Hours Minutes AM PM AM/PM Please include setup in your time.End Time of Second Day:* : Hours Minutes AM PM AM/PM Please include clean-up in your time.Start Time of Third Day:* : Hours Minutes AM PM AM/PM Please include setup in your time.End Time of Third Day:* : Hours Minutes AM PM AM/PM Please include clean-up in your time.Start Time of Fourth Day:* : Hours Minutes AM PM AM/PM Please include setup in your time.End Time of Fourth Day:* : Hours Minutes AM PM AM/PM Please include clean-up in your time.Estimated number of attendees?* What is the profession/industry of the attendees?*Select all that apply. Social workers/Therapists/Counselors Physicians/Healthcare Workers Educators Students Board Members Other What type of event is it?*WorkshopSummitConferenceCEU EventSober ActivityRecovery MeetingTrainingPrivate EventOtherWhich room(s) are you requesting?* Meeting Room The McCullough Lecture Hall The Hamill Foundation Conference Center How do you want the room setup?*Theater (capacity: 38-65)Classroom (capacity: 23-48)Square (capacity: 18-32)U-shape (capacity: 15-25)Please see below for room layout diagrams.How do you want the lecture hall setup?*Theater (capacity: 85)Classroom (capacity: 85)Square (capacity: 65)Please see below for room layout diagrams.How do you want the auditorium setup?*Theater (capacity: 288)Banquet (capacity: 128)Classroom: (capacity: 125)Please see below for room layout diagrams.Will you need audio and visual equipment? (fees apply) No LCD Projector/Laptop w/ wireless Clicker $50 Portable Whiteboard $35 Wireless Microphone $10 Lapel Microphone $10 Wired Microphone $10 Would you like The Council to provide coffee and water? (fees apply based on attendee number)* Yes No Will you be bringing in catering?* Yes No Please provide any additional information:CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
