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Russell County Conference Center Information Form
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Group Name _______________________________Booked by: _____________________
Date of Event: _____________________________________________________________
Unlock Time: ________Start Of Event Time: __________ End of Event Time: ________
Number in Group: ___________________________Event Type: ___________________
PRIMARY CONTACT:  Any changes/requests must be by either of these individuals:
changes/requests by others will not be honored.
Name: _____Email:
Contact Number: ___________________________________________________________
Set-Up:
Size of Room Requested: ________________     Facility Cost: ____________________
Quarter: ______ Half: _______ Full: _____
Number of Round Tables Needed: ___________
Number of Rectangle Tables Needed: ________
Linens: __________Color/Linen
______Round  x $_______each
______Rectangular x $_______each
______Skirting   x $_______each
______Tall Café x $_______each
______Napkins   x $_______each         Linen Cost: _________________
Food and Refreshments:
Will refreshments or food be served? ___________________________________________
If so, Caterer: _______________________________________________________________
Will alcohol be served? _______________________________________________________
Do you need refreshments provided? ______________________ Cost: ________________
Do you need food provided? ______________________________Cost: ________________
Russell County Conference Center Information Form
Group Name Booked by:
Date of Event:
Unlock Time: Start Of Event Time: End of Event Time:
Number in Group: Event Type:
PRIMARY CONTACT: Any changes/requests must be by either of these individuals:
changes/requests by others will not be honored.
Name: Email:
Contact Number:
Se
of Room Requested: Facility Cost:
Quarter: Half:
Number of Round Tables Needed:
Number of Rectangle Tables Needed:
Linens: Color/Linen
Round xS each
Rectangular x$ each
Skirting x each
Tall Café x$. each
Napkins x$. each Linen Cost:
Food and Refreshments:
Will refreshments or food be served?
If so, Caterer:
Will alcohol be served?
Do you need refreshments provided? Cost:
Do you need food provided? Cost:
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Russell County Conference Center Information Form
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Computer Usage: ____
Projector/Screen: __________ Microphone (how many):___________ Podium: _________
Cost: _____
Stage: ______________________________________________________Cost:
Description of Additional Request:
TOTAL COSTS: ____________________
Non-Refundable Deposit: ____________
Remaining Balance: _________________
Date paid: ___________________

Date paid: ___________________
I understand and agree to abide by the terms contained in the contract. I understand my
group will be billed on the number provided above.
SIGNATURE: ___________________________Date:
Russell County Conference Center Information Form
Computer Usage:
Projector/Screen: Microphone (how many):
Stage:
TOTAL COSTS:
Non-Refundable Depo:
Remaining Balance:
I understand and agree to abide by the terms contained in the contract. I understand my
group will be billed on the number provided above.
SIGNATURE: Date:
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Group Name: 
Booked by: 
Date of Event: 
Unlock Time: 
Start Of Event Time: 
End of Event Time: 
Number in Group: 
Event Type: 
Name: 
Email: 
Contact Number: 
Size of Room Requested: 
Facility Cost: 
Quarter: 
Half: 
Full: 
Number of Round Tables Needed: 
Number of Rectangle Tables Needed: 
Linens 1: 
Linens 2: 
Round: 
x: 
Rectangular x: 
Skirting: 
x_2: 
Tall Café: 
x_3: 
Napkins: 
x_4: 
Linen Cost: 
Will refreshments or food be served: 
If so Caterer: 
Will alcohol be served: 
Do you need refreshments provided: 
Cost: 
Do you need food provided: 
Cost_2: 
Computer Usage: 
ProjectorScreen: 
Microphone how many: 
Podium: 
Stage: 
Cost_3: 
Cost_4: 
Description of Additional Request 1: 
Description of Additional Request 2: 
TOTAL COSTS: 
Deposit Paid: 
Date paid: 
Remaining Balance: 
Date paid_2: 
Date: