Learning Center Room, Book and Meeting Expense Form
Name of presenter or sponsor: Name of class: Date of class: Approximate number of participants expected:
Learning Room Reservation Form- Due to the high demand of room reservations
in the Conference Center this form should be filled out as soon as possible. There are no guarantees on room availability but every effort will be made to meet your request if ample time is allowed for scheduling. This form also gives you the options to request electronic equipment, room set up, and refreshments.
The following information must be returned to Staff Development, Paula Carter, pcarter@aea9.k12.ia.us, 563-344-6481 at least 2 months prior to class.
Materials needed:
Yes
No
Print Form- Complete this form if you will need materials for your class. Book Order Information-Complete this section if participants of your class will be purchasing book(s) during registration. Title of Book: Author: Price: **Important: Please attach a hard copy or send an electronic copy of the order form from the vendor of the publishing company to place the order.
Refreshments/lunch needed:
Estimated cost per participant:
Yes
No