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Reservation Form

YOUR PERSONAL EVENT CHECKLIST

Free of charge or obligation, we can inform you about the costs of your event. Please complete the following checklist as precisely as possible so we can make you a detailed cost estimate.

General Information – Organisers’ Data

Company/Institution*

Contact Person*

Address*

ZIP*

Location*

Telephone*	Fax
eMail* (name@provider)	Mobile

Billing address (name or company name, address)

Tax number*

VAT number

*=Obligatory information

How did you get to know about the EURAC Convention Center?

Other (Description)

Event Information

Event Title

Number of people

from (dd.mm.yy)	to (dd.mm.yy)	from (00:00)	to (00:00)
from (Alternative dates)	to (Alternative dates)	from (00:00)	to (00:00)

Further Event Information

What sort of event are you planning?

Congress	Seminar
Meeting	Training
Cultural Event	Workshop
Conference	Incentive
Lecture	Forum
Movie	Exhibition
Theatre	Presentation
other

Private Function	Public Event
without entry fee	with entry fee

Which rooms would you like to rent?

Auditorium	Seminar 4	Garden Terrace
Conference Hall	Seminar 5	Tower Terrace
Conference Hall open	Seminar 6	Courtyard
Seminar 1	Seminar 7	Foyer Auditorium
Seminar 2	Seminar 8	Foyer 123
Seminar 3	Garden	Tower

Please specify the technical equipment you desire

Flip Chart

Bulletin Board

Overhead Projector

Slide Projector

Video and Data Projector – 2500 Ansi lumen

Video and Data Projector – 10000 Ansi lumen

AV cart (DVD-/CD-/MD-player, stereo, S-VHS+mini-DVD-player)

Laptop (Windows XP, Office XP)

Internet Access

Multifunction Device (Fax, scanner, Copier, Printer)

Telephone Device

TV + VCR

Laser Pointer

Visualizer

Smartboard (Rear-projection box)

Videoconferencing System

Registration audio

Mobile Lectern (with 1 Speaker Microphone)

Lapel Microphone

Table Microphone

Radio Microphone

Translation Booths (includes system and 50 headphones)

Extra headphones

Video Wall (Reception, Auditorium, Conference Hall, Foyer 123)

What would you like to offer the participants?

Drinks in Room	Coffee Breaks
Aperitifs	Buffets
Business Lunch	Menus in the EURAC Café

What additional services might your event require?

Assistance from a custodian	Taxi Service – Shuttle Service
Presence of a technician	Security Service
Cloak Room	Light Director
Hostesses	Floral arrangements
Photographer	Badge
Interpreter	Clipboards
Information Stand

Guideposts and Room Identification (Description)

Other (Description)

Do you require a proposal for the supporting programme?

Excursions, Tours

Evening Program

Other (Description)

Are you looking for lodging for your guests?

Hotel

Single Room

Double Room

Half-board

Free information - please check

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Further requirements:

I would like to visit the ECC. Please contact me in order to arrange a visit.
	I have been informed about the use of my personal data in accordance with art. 13/Decree No. 196/2003; hereby I authorize the EURAC Convention Center to process my data. (196/2003, article 13.) *

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