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Facilities Request Form
The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-12-24 09:17:41 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Yankee Farm Credit and Farm Credit East Producer meeting Amy Contact Information: Submitted by: Ext: 117 emerich@whminer.com Events Begins: Date Wednesday, January 14, 2015 Time 11:00 a.m. Events Ends: Date Time 2:00 p.m. Wednesday, January 14, 2015 Facilities Required (List all that apply) TBA Phone Number: 802-734-4973 Email Address: Wanda Number Attending: Miner Center Auditorium Other Accomodations or Requests updates will be coming next week See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Amy, Yankee Farm Credit Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Morning Break $1.50 - Beverages only 11:00 > 20 - See Kirk for pricing noon Quantity Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-07-10 12:26:52 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: CCE NNYDI Repro Program Kim Morrill Contact Information: Submitted by: Number Attending: Phone Number: (603)-568-1404 Email Address: Wanda Ext: 117 emerich@whminer.com Events Begins: Date Thursday, January 15, 2015 Time 10:00 a.m. Events Ends: Date Time 3:00 p.m. Thursday, January 15, 2015 Facilities Required (List all that apply) 15-20 Miner Center Auditorium Other Accomodations or Requests See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Morning Break Quantity Total $2.50 - Snacks & beverages 10:00 AM 20 $50 $5.50 - Institute Lunch - < 20 noon 20 $110 Laurie Miller, Accounting / Payroll Lunch Cafeteria Housekeeping Afternoon Break Miner Center Custodial Other Dinner AESP faculty GRAND TOTAL Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-05 09:39:30 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: The Burkes Number Attending: Contact Information: Submitted by: Phone Number: Rachel Email Address: dutil@whminer.com Events Begins: Date Thursday, January 29, 2015 Events Ends: Date 2 Sunday, February 1, 2015 Facilities Required (List all that apply) Ext: 115 Time p.m. Time p.m. Shadow Lawn Guest House Other Accomodations or Requests the usual please See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-09-23 09:25:18 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Cornell Maple School Mike Farrell Contact Information: Submitted by: Number Attending: Phone Number: O: 523-9337 C: 637 7000 Email Address: Wanda Ext: mlf36@cornell.edu Events Begins: Date Friday, January 30, 2015 Time 3:30 p.m. Friday, January 30, 2015 Time 8:30 p.m. Events Ends: Date Facilities Required (List all that apply) TBA Miner Center Auditorium Other Accomodations or Requests details to follow later See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name The Uihlein Forest Cornell University Departme Address 157 Bear Cub Lane City Lake Placid Rick Grant, President Steve Kramer, Director of Laboratories Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager ST NY Zip 12946 Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-09-23 10:19:15 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: 4H Horse Bowl and Hippology Karen Contact Information: Submitted by: Number Attending: Rachel Phone Number: ext. 120 Email Address: dutil@whminer.com Ext: 115 Events Begins: Date Saturday, February 7, 2015 Time 7 a.m. Saturday, February 7, 2015 Time 7 p.m. Events Ends: Date Facilities Required (List all that apply) Miner Center Auditorium Other Accomodations or Requests ~100 board room; green room cafeteria annex; computer lab Cafeteria will be used for lunch; tech office for 4H personnel; library for kid activities in the morning. Please have tables along wall of auditorium and garbages please! See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-12-16 09:19:44 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: CCE Regional Calf Management Program Group Kim Morrill Contact Information: Submitted by: Number Attending: Phone Number: (603)-568-1404 Email Address: Wanda Ext: kmm434@cornell.edu Events Begins: Date Thursday, February 12, 2015 Time 10:00 a.m. Events Ends: Date Time 3:00 p.m. Thursday, February 12, 2015 Facilities Required (List all that apply) 10 Miner Center Auditorium Other Accomodations or Requests Will need internet access for WebEx See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Kim Morrill, CCE Regional Dairy Specialist send bill to e-mail above Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Morning Break Quantity Total $2.50 - Snacks & beverages 10:00 AM 10 $25.00 $5.50 - Institute Lunch - < 20 noon 10 $55.00 Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-06 11:40:16 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Institute and Museum audits Kirk Beattie Contact Information: Submitted by: Number Attending: Rachel Phone Number: ext. 114 Email Address: dutil@whminer.com Events Begins: Date Tuesday, February 17, 2015 Events Ends: Date Thursday, February 19, 2015 Facilities Required (List all that apply) Ext: 115 Time a.m. Time p.m. farm office conference room Other Accomodations or Requests the one or two auditors will likely have lunch in the cafeteria with Kirk and Laurie Feb. 17, 18, and 19. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-12-10 10:18:49 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Crop Congress Wanda Contact Information: Submitted by: Number Attending: Rachel Phone Number: ext. 117 Email Address: dutil@whminer.com Ext: 115 Events Begins: Date Tuesday, February 17, 2015 Time 10 a.m. Events Ends: Date Time 3 p.m. Tuesday, February 17, 2015 Facilities Required (List all that apply) Miner Center Auditorium Other Accomodations or Requests 85-100 BERC lobby cafeteria annex Please have vendor tables in the lobby and in the cafeteria annex. Wanda can confirm number needed as date approaches. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-12-19 11:14:33 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Tom Bull presentation for all staff Rachel Contact Information: Submitted by: Number Attending: Rachel Phone Number: ext. 115 Email Address: dutil@whminer.com Ext: 115 Events Begins: Date Thursday, February 19, 2015 Time 3 p.m. Thursday, February 19, 2015 Time 5 p.m. Events Ends: Date Facilities Required (List all that apply) ~40 Miner Center Auditorium Other Accomodations or Requests Please have some cookies, coffee and water available See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-14 08:51:48 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Dave Barbano Number Attending: Contact Information: Submitted by: Phone Number: Rachel Email Address: dutil@whminer.com Events Begins: Date Sunday, February 22, 2015 Events Ends: Date 1 Tuesday, February 24, 2015 Facilities Required (List all that apply) Ext: 115 Time p.m. Time p.m. Shadow Lawn Guest House Other Accomodations or Requests Dave will be joining the Dairy 2050 group on Feb. 24 so please just have Shadow Lawn ready for the full group in advance of Dave's arrival. Thanks! See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-14 08:56:38 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: research meeting with Dave Barbano Number Attending: Contact Information: Submitted by: Phone Number: Rachel Email Address: dutil@whminer.com Events Begins: Date Monday, February 23, 2015 Events Ends: Date Monday, February 23, 2015 Facilities Required (List all that apply) Ext: 115 Time 8:30 a.m. Time 12 p.m. Miner Center Green Room Other Accomodations or Requests Dave will be staying for lunch. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-05 10:33:15 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Dairy 2050 group Rick Contact Information: Submitted by: Number Attending: Rachel Phone Number: ext. 116 Email Address: dutil@whminer.com Events Begins: Date Tuesday, February 24, 2015 Events Ends: Date Thursday, February 26, 2015 Facilities Required (List all that apply) 3 Ext: 115 Time a.m. Time p.m. Director's Residence Other Accomodations or Requests please have snacks, coffee, beer, and wine available. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-05 10:38:57 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Dairy 2050 group Rick Contact Information: Submitted by: Number Attending: Rachel Phone Number: ext. 116 Email Address: dutil@whminer.com Events Begins: Date Tuesday, February 24, 2015 Events Ends: Date Thursday, February 26, 2015 Facilities Required (List all that apply) 5 Ext: 115 Time a.m. Time p.m. Shadow Lawn Guest House Other Accomodations or Requests please have snacks, coffee, beer, and wine available. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-12-16 09:40:08 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: CCE Regional Calf Management Program Group Kim Morrill Contact Information: Submitted by: Number Attending: Phone Number: (603)-568-1404 Email Address: Wanda Ext: kmm434@cornell.edu Events Begins: Date Thursday, February 26, 2015 Time 10:00 a.m. Events Ends: Date Time 3:00 p.m. Thursday, February 26, 2015 Facilities Required (List all that apply) 10 Miner Center Auditorium Other Accomodations or Requests Will need internet access for WebEx See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Kim Morrill, CCE Regional Dairy Specialist send bill to e-mail above Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Morning Break Quantity Total $2.50 - Snacks & beverages 10:00 AM 10 $25.00 $5.50 - Institute Lunch - < 20 noon 10 $55.00 Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-12-19 08:32:58 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: NNYADP Meeting Amy Ivy Contact Information: Submitted by: Number Attending: Phone Number: 518-561-7450 x104 Email Address: Wanda Ext: 117 adi2@cornell.edu Events Begins: Date Friday, February 27, 2015 Time 10:00 a.m. Events Ends: Date Time 3:00 p.m. Friday, February 27, 2015 Facilities Required (List all that apply) Miner Center Auditorium Other Accomodations or Requests ~30 Miner Center Green Room Miner Center Boardroom also need Cafeteria Annex. They will be having a meeting in the Auditorium and breakout sessions in the other rooms after lunch. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Amy Ivy Address 6064 Rte 22 Suite 5 City Plattsburgh CCE-NNYADP Rick Grant, President Steve Kramer, Director of Laboratories ST NY Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip 12901 Time Morning Break Quantity $2.50 - Snacks & beverages 10:00 AM 30 > 20 - See Kirk for pricing noon 30 Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total $75.00 Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) They might move furniture around some to set up for the breakout sessions. Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-09 14:10:15 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: EquiDay speaker Karen Contact Information: Submitted by: Number Attending: Rachel Phone Number: ext. 120 Email Address: dutil@whminer.com Events Begins: Date Friday, March 20, 2015 Events Ends: Date Sunday, March 22, 2015 Facilities Required (List all that apply) not sure Ext: 115 Time p.m. Time p.m. Director's Residence Other Accomodations or Requests touch base with Karen on snacks/beverages. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-09 14:12:07 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: EquiDay Karen Contact Information: Submitted by: Number Attending: Rachel Phone Number: ext. 120 Email Address: dutil@whminer.com Ext: 115 Events Begins: Date Saturday, March 21, 2015 Time 8 a.m. Saturday, March 21, 2015 Time 4 p.m. Events Ends: Date Facilities Required (List all that apply) ~50 Miner Center Auditorium Other Accomodations or Requests cofee/water, pastries and fruit in morning, and make your own bag lunch at noon. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Karen will touch base on number of vendor tables needed. Thank you! Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-12-22 16:19:43 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: staff meeting Number Attending: Contact Information: Submitted by: Phone Number: Rachel Email Address: dutil@whminer.com Events Begins: Date Thursday, March 26, 2015 Events Ends: Date ~40 Thursday, March 26, 2015 Facilities Required (List all that apply) Ext: 115 Time 10:30 a.m. Time 12 p.m. Miner Center Auditorium Other Accomodations or Requests coffee, water and cookies please! See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-09 14:38:00 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Sammy Pittman Farrier Karen Contact Information: Submitted by: Number Attending: Phone Number: ext. 120 Rachel Email Address: dutil@whminer.com Ext: 115 Events Begins: Date Thursday, April 9, 2015 Time p.m. Sunday, April 12, 2015 Time a.m. Events Ends: Date Facilities Required (List all that apply) 1 Director's Residence Other Accomodations or Requests Karen will touch base if any snacks/beverages are needed. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-09 14:47:51 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Sammy Pittman Farrier/Vet Clinic Karen Contact Information: Submitted by: Number Attending: Phone Number: ext. 120 Rachel Email Address: dutil@whminer.com Ext: 115 Events Begins: Date Friday, April 10, 2015 Time 8 a.m. Friday, April 10, 2015 Time 1 p.m. Events Ends: Date Facilities Required (List all that apply) not sure Miner Center Auditorium Other Accomodations or Requests Cafeteria- coffee/water/pastry/fruit, Lunch- Hot buffet of something easy. Should have preregistered #’s by March 31. Karen will touch base as date approaches. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) The group will move to the horse barn in the afternoon. Karen will let you know if additional setup in the barn is needed. Thanks! Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-12-22 16:20:29 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: staff meeting Number Attending: Contact Information: Submitted by: Phone Number: Rachel Email Address: dutil@whminer.com Events Begins: Date Thursday, June 18, 2015 Events Ends: Date ~40 Thursday, June 18, 2015 Facilities Required (List all that apply) Ext: 115 Time 10:30 a.m. Time 12 p.m. Miner Center Auditorium Other Accomodations or Requests coffee, water and cookies please! See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2015-01-09 14:51:36 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: Horsemanship Retreat participants Karen Contact Information: Submitted by: Number Attending: Phone Number: ext. 120 Rachel Email Address: dutil@whminer.com Events Begins: Date Friday, June 26, 2015 Events Ends: Date Saturday, June 27, 2015 Facilities Required (List all that apply) ~6 Ext: 115 Time a.m. Time p.m. Director's Residence Other Accomodations or Requests coffee/breakfast food/snacks. Karen will confirm as date nears. See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-12-22 16:20:59 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: staff meeting Number Attending: Contact Information: Submitted by: Phone Number: Rachel Email Address: dutil@whminer.com Events Begins: Date Thursday, September 3, 2015 Events Ends: Date ~40 Thursday, September 3, 2015 Facilities Required (List all that apply) Ext: 115 Time 10:30 a.m. Time 12 p.m. Miner Center Auditorium Other Accomodations or Requests coffee, water and cookies please! See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape The William H. Miner Agricultural Research Institute 1034 Miner Farm Road PO Box 90 Chazy, NY 12921 Print Form Current Date www.whminer.org Submit by Email 2014-12-22 16:21:26 New Request Revised Request Facilities Request Form Please complete the form below to request a reservation. Visitor / Name of Event: staff meeting Number Attending: Contact Information: Submitted by: Phone Number: Rachel Email Address: dutil@whminer.com Events Begins: Date Thursday, December 3, 2015 Events Ends: Date ~40 Thursday, December 3, 2015 Facilities Required (List all that apply) Ext: 115 Time 10:30 a.m. Time 12 p.m. Miner Center Auditorium Other Accomodations or Requests coffee, water and cookies please! See additional comments on back Send Copies to: Check all services that you will need: Katie Ballard, Director of Research Housekeeping Kirk Beattie, Finance & Personnel Officer Amy Bedard, Library Cafeteria After Hours Coverage Custodial Service Bill the following services to: Charge services to: Steve Couture, Dairy Farm Manager Wanda Emerich, Outreach Coordinator Steve Fessette, Director of Physical Plant Name Address Rick Grant, President Steve Kramer, Director of Laboratories City ST Rachel Dutil, Administrative Assistant Karen Lassell, Equine Manager Zip Time Quantity Morning Break Laurie Miller, Accounting / Payroll Cafeteria Housekeeping Lunch Afternoon Break Miner Center Custodial Other Dinner GRAND TOTAL Total Miner Institute - Chazy NY Facilities Request Form Page 2 Room Configuration Traditional Speaker/Audience Audio/Visual Equipment Please check audio/visual equipment you will need for your event (check all that apply): Chalkboard Digital Projection System Tables in U Shape (18 maximum) Dry Erase Board & markers Easel, flipchart, & markers Laser pointer Overhead Projector PA System Slide Projector Surge Protected Electrical Outlet Strip Extra long phone cord Television VCR Other Tables in Two Rows (20 maximum) Additional Comments Tables in Rectangle (24 maximum) Tables in Modified U Shape (36 maximum) Chairs in a V-shape
