* denotes a required field
Date of Event * - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2030 2029 2028 2027 2026 2025
Event Start Time * - 1 2 3 4 5 6 7 8 9 10 11 12 Event Start Time Minute - 00 15 30 45 Is Event Start Time AM or PM - AM PM
End Date of Event * - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2030 2029 2028 2027 2026 2025
Event End Time * - 1 2 3 4 5 6 7 8 9 10 11 12 Event End Time Minute - 00 15 30 45 Is Event End Time AM or PM - AM PM
Event Name *
Type of Event *
Which venue are you requesting? * - Select Option L.V. Eberhard Center Richard M. DeVos Center L. William Seidman Center Bicycle Factory Cook-DeVos Center for Health Sciences Daniel and Pamella DeVos Center for Interprofessional Health Laker Store on Monroe – Activation Space (Internal Use Only)
Room Set Style - Select Option Classroom Theater Banquet Boardroom Hollow Square U-Shaped Double-U Herringbone Custom Set
Expected Attendance * - Select Option 1-10 10-20 20-30 30-40 40-50 50-60 60-70 70-80 80-90 90-100 100-150 150-200 200-250 250-300 300-350 350-400 400-450 450-500
Tables Registration Tables Vendor/Exhibition Tables Custom Set
Food Service *
Audio/Visual *
Additional Information
How did you hear about us?
Company/Organization *
First Name *
Last Name *
Email *
Phone *
Cell
Address 1 *
Address 2
City *
State * - Select State Alabama Alaska American Samoa Arizona Arkansas Armed Forces Afr/Can/EU/ME Armed Forces Americas Armed Forces Pacific Baker Island California Colorado Connecticut Delaware Federated State of Micronesia Florida Georgia Guam Hawaii Howland Island Idaho Illinois Indiana Iowa Johnston Atoll Kansas Kentucky Kingman Reef Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Midway Islands Minnesota Mississippi Missouri Montana Navassa Island Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Palmyra Atoll Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Trust Territory of Pacific Utah Vermont Virgin Islands Virginia Wake Island Washington Washington D.C. West Virginia Wisconsin Wyoming
Zip/Postal *
WorkTag (Grand Valley internal clients only)
Human Verification *
