Neuro Meeting Facilities Reservation Request Form
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Please first read: MNI Meeting Facilities Policies.
Please Note: Audio Visual equipment and AV Support Services are NOT AVAILABLE during Statutory Holidays!
Click here to view meeting facility details
and descriptions on the Neuro AV website
Submitter's Identification Section

*
Denotes required entry
 
Profile ID #: (Optional)          Click here to create a profile ID #       Lost your ID?
Full Name: * Department
head's name:
*
Pavilion:
Other:
* Info?
Institution:
Other:
 
*
Department: * 
ie: Neurobiology; Engineering, Neuropyschology etc..
NOT ACCEPTED!: - Neurology and Neurosurgery
Room Number: *
Telephone#: * (include area code if applicable)    
Email Address: *
Cost Centre#

FOAPAL
Info?

  See "Over-the-Counter" Rental Price List
See Neuro AV site for activation prices
        (MUHC & Others rental fees)
Facility Reservation Details

Facility or Room Required:
 

Estimated Number
Attending Meeting:
*
Name of meeting: *
(ie: Lab Meeting, Tumour Symposium - shows on calendar)

A Brief Description of the Meeting (optional)
Start Date: * arrow

Please Select Date from Calendar Icon
 

See holiday schedule

Start Time: * End Time *
(Please allow 30 minutes extra time if room furniture setups are required)

If you would like a recurring reservation, check this box
Standing Day: *       End Date: *   Arrow   Info?    Interval: *
                   Please Select Date from Calendar Icon

There are SIX facilities with
"built-in" Audio Visual Equipment.
Do you wish to use this equipment?

See Activation Price List (MUHC & Other rental fees)
If applicable, please select what type of computer
will initially be used with the facility projector.

If not chosen the default is the Podium Computer
 
*
*
Please note that your request will not be sent to Neuro Media until it is authorised by the IPN Administrator.
Video Conferencing? *  
MUHC & MNH, please reserve your video conference request with Telesante @x24294
Audio Visual Technician Services Reservations
AV Technician
Services Required?
*

For how long?
(If technician is staying)
Details
for
Technician


Any other pertinent
information or requests.


Please Note: If you wish to discuss your facility reservation
with the facilities reservations coordinator then please call (514) 398-3193

For security reasons, please enter the characters in the image into the text box :

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