Ambient Sound Media Site Reservation


RESERVATIONS MUST BE MADE AT LEAST 24 HOURS IN ADVANCE AND BE PRE-APPROVED BY LIFESPAN LEARNING INSTITUTE.

 
Asterisk (*) denotes a required field.
 
CONTACT INFORMATION
 
*Lifespan Department:
*First Name:
*Last Name:
*Email:
*Phone: - - Ext.
   
PRIMARY PRESENTER DETAILS:
*Presentation Title:
*Presenter Name:
*Bio URL:
*Email:

 

*PLEASE EMAIL PRESENTER PHOTO TO
(photos must be 60x80 pixels)

reservations@ambientsound.com

 

 

SECONDARY PRESENTER DETAILS:
Presentation Title:
Presenter Name:
Bio URL:
Email:
 
EVENT INFORMATION:
*Date of Event:
*Start Time of Event:
*End Time of Event:
*Host Location:
   
EXTRA INFORMATION:
   
Will the Presenter be using their own computer? (NOTE: If using a MAC, you need to bring your VGA adapter)

I will use a computer aleady in the room.
I will use my own laptop.
No Computer will be used.
   
Additional Comments/Requests (such as extra microphones, etc.):