Room Reservation

Identification
Organization/company name
Event name
Contact
Email
Address
Telephone
Fax
Number of participants
Event date (dd/mm/yyyy)
CRIM member Yes    No


Room and room set-up (room availability)
Room set-up 1. École  2. Théatre  3. En îlots  4. En U 
5. Conférence  6. Carré ouvert 
Room(s) selected: 1+2 
10  9+10  11 
Time: From to Applicable rate:  Full-day     Half-day
A breakfast charge of $4.25 per person will be added automatically to the amount billed for all rooms rented prior to 10:00 am (fruit juice, seasonal fruits, pastries, muffins, yogurt).
TOTAL 1 - Room(s) selected:
$


Equipment required
   Number
Cost/unit
Total $
    Full-day Half-day  
Videoconference 200  100   
LCD projector 100  50   
Flipchart 20  20   
Overhead projector 20  20   
Multimedia PC 75  50   
Telephone conferencing 25  25   
Screen No charge  
Microphone with stand No charge (Rooms 9 and 10 only)  
Lavalier microphone No charge (Rooms 9 and 10 only)  
Other equipment required
(please specify) :
TOTAL 2 - Equipment:
$


Refreshment breaks

CRIM will be responsible for any refreshment breaks. Please indicate if you will be taking any coffee breaks; if so, please specify the time and required refreshments:

Break no. 1: o'clock

Break no. 2: o'clock
Muffins, croissants, etc ($2,25/person) Muffins, croissants, etc ($2,25/person)
Juice (fruit, vegetable), soft drinks ($2,00/person) Juice (fruit, vegetable), soft drinks ($2,00/person)
Coffee, tea, herb tea (no charge) Coffee, tea, herb tea (no charge)
TOTAL 3 - Breaks:
$


Lunch

Would you like CRIM to take care of the catering arrangements?

Yes    No

If so, what is your catering budget?

$ per person

Please serve lunch at o'clock

Plastic place setting - $1/person
TOTAL 4 - Catering (# of persons x $/person):
$


Other requirements (please specify)


Sub-total 1 (TOTAL 1 + TOTAL 2 + TOTAL 3 + TOTAL 4):

$

GST 5 % :

$

Subtotal 2:

$

PST 8.5 % (applicable to Subtotal 2):

$

GRAND TOTAL:

$


  
 
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