Conference Room Rental Request Please enable JavaScript in your browser to complete this form.Requestor InformationCompany / Business Name *Contact Person NamePhone *Email *Contact Person/ Company Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEvent Date / TimeDateTimeEvent Purpose Number of Hours Needed OneTwoThreeFourAvailable hours are between 6:00p.m.- 10:00p.m. May arrive one hour in advance for setup time. Set-up time Approximate # of Guests Maximum Capacity - No more than 25 for seated events. No more than 40 for standing room only Equipment Use Options CheckboxesTV (no charge)Wireless access (no charge)Virtual set-up- laptop not provided (no charge)Kitchen access - sink & refrigerator (no charge)Printer/ copier ( $0.15 per page for black & white) ($0.25 per page for color)Agreement Statement *I agree that the above statements are true and I agree that I have read, understood, and will honor all policies and information, including the attached Conference Room Rental form, which is a part of this agreement. I understand that the Autism Society of South Carolina is only expected to provide services and equipment identified and agreed to in this contract.Signature of Applicant * Clear Signature Date *Submit