Niagara University Continuing Education

Conference Inquiry Sheet

Dunleavy Hall Room 103
Niagara University, NY 14109		 (716) 286-8181
   fax -(716) 286-8210 
ce@niagara.edu

Contact  Information:

Contact Person:
Organization:
Name of Event:
Street:
City:
State/Providence:
Zip Code: Cell Number
Work Number: Home Number:
Fax Number: E-mail Address:

Conference Information:
Purpose of Conference
Non-Profit Organization? Yes No  (must provide 501 certificate) 
Age Group: Adults Seniors HS students Elementary Mixed Audience
Admission fee for event? Yes No Open to the Public? Yes No
How much?    
Multi-day Event? Yes No Number of  Days?
First Date of Event: Select Date  
Start Time:       End Time:   
Last Date of Event: Select Date  
Start time:       End Time:   
Est. Number of Participants: Est. Number of Audience/Spectators:
Special Guests or Dignitaries?    Yes No
If so, general list:                        
Is Media Coverage Involved?    Yes No

Services Required:
Audio Visual:
Catering:
Housing: On Campus Housing Housing at Local Accomodations (hotels)
Linens:
Electrical:
   
Note:  A detailed plan of all equipment needs will be required.

Types of Space Requested:

Auditorium    Outdoor Athletic Facilities Dorms Conference Room
Dining Room    Gym   Classroom                # of Classrooms Needed
Other

Overnights (Only use if requesting on-campus housing):

Number of Nights:
Approximate Check-In Time: Approximate
Check-Out Time:
Linens: Yes No Number of Singles?
    Number of Doubles?
Special Needs:
Special Requests:

Food Service Requested:
Is food services requested? YesNo Which Meal(s)? Breakfast
Will alcohol be served? Yes No Lunch
      Dinner
      Refreshments (Break-Out Period)
Note: All catering must be through campus food service and will be separately billed.
NOTE: An alcohol license/permit must be submitted though the catering dept. 90 days before this event. Please contact catering at 716-286-8099


References:
Last Year Facility:
  Name of Contact:
  Phone Number:
     
Previous Year Facility:
  Name of Contact:
  Phone Number:

Additional Notes:

Please read the following important information:
  • 1,000,000 Liability Insurance Coverage is Required
  • No smoking or alcohol is permitted on campus
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By clicking the submit button you have read, understood and agreed to the previous information.
A representative from our office will contact you about your conference or event.
Thank You