Events and Facility Request Form
Please submit to:
Debra L. Remington
Director of Facilities and Event Planning
Lake Erie College - The Mathews House
391 W. Washington Street
Painesville, Ohio 44077
440.375.7040 (w)
440.221.0292 (c)
dremington@lec.edu
Minimum of two weeks notice for all requests

Primary Information:
*Request from
Sponsoring Organization:
*Extension
*Date of Request
*Address
*State/Province
*Zip/Postal Code
*Contact Phone Number
Cell Phone:
*Email Address
*Name of Event
*Event Location/Room:
*Date of Event/Facility
*Brief event description:
*# People Expected:
*Time	Start End
*Is there a charge for this event	Yes No
Public Relations Request:	Not Needed Needed
	Press Release Fliers
	Program Photos at Event
	Signage Invitations
	Placement on Web Storm Report
Specific Request
IT Request:	Not Needed Needed
Set up Date/Time
Tear down Date/Time
Please Check if Needed
	Laptop PowerPoint Equipment Screen
	Microphone/Stand Audio/Video Speakers
	DVD VCR/Monitor
	Flip Chart Easel Presentation Easel(s)
	Conference Phone Whiteboard
	*You must supply paper and markers
Special Requirements
Set up Request:	Not Needed Needed
Set up Date/ Time
Tear down Date/Time
Type/Number of Tables	5' Long 8' Long
	Round (only at Victor Manor) White
	Thrones (Morley) Gold (Required at Victor Manor)
	Podium Projector Table
Set up:	Chairs Tables
	Tent Special Lighting Porta Pottey Coat Racks(s)
Describe your set up needs fully. If you need to diagram your set up please print out form and mail to Deb Remington.
Other Requirements
Parking Request::
	Number of cars Number of Parking Permits
	Valet Parking Shuttle Service
Security	Not Needed Needed
	Additional security Painesville police
	Building unlocked time locked time
	Room unlocked time locked time
Special Requirements
Special request:	Not Needed Needed
	Ambassadors Number Arrival Time
Music	Piano Combo Harp Band Organ From To
Flowers	Centerpieces Decorative Pieces Delivery Time
Additional Requiements
Metz Catering: Catering Menu	Not Neeed Needed
Person Responsible for Ordering
Set up Date/Time
Number of People
Please Check
	Breakfast Continental Breakfast
	Buffet Lunch Served Lunch Box Lunch
	Buffet Dinner Served Dinner
	Buffet Desert Served Dessert
	Hor's D'oeuvres Passed
Beverages	Coffee/Tea Pop/Juice Water
	Bar Service (with approval)
	Linens on Tables Linens/Skirting on Buffet Table(s) Color Preference
Plates/Glasses	Glass/China Plastic
Please include meal choices from Metz Catering Menu (see above)
Special Dietary Requirements
Rental Drop off Date/Time.
Rental Pick up Date/Time.
Please Review all Information