Louisiana Resource Center for Educators (LRCE)

If you would like to reserve a room at LRCE, please fully complete the form below. Our staff will contact you regarding availability and details. Call LRCE at (225) 924-7600 if you need more information or have questions.

Please complete this form to pay for LRCE room reservations.

ROOM RATES:
Non-Members: $25 per hour/ per room
Members: $12.50 per hour/ per room (after 24 hours of complimentary use)

	* Indicates required fields
Organization Name:
Office Name (if applicable):
* First Name:	MI
* Last Name:
Will you be attending?
If no, please list the contact that will be attending:
* Contact Email:
* Confirm Email:
Organization Address:
City:
State:
Zip Code:
Telephone:
Fax:
* Requested Date(s):	First Choice Second Choice
* Desired Time: From / To:	including set up and clean up
* Number of Rooms:
* Anticipated Attendance:
I will need the following items from LRCE:	TV/VCR Coffee ($10 per thermos: 15-18 cups) If yes, how many thermos containers?
* Purpose of Meeting:


Bill to my Credit Card	Complete the information below:
Card Type:	Visa MasterCard Discover American Express
Charge Amount:	$
Credit Card Number:
CVC:
Name as it Appears on Card:
Expiration Month:
Expiration Year:
Billing Address:
Billing City St, Zip:	* *


* I have read the LRCE Room Reservation Policies and agree to the terms described therein.