Application and Equipment and Services Form - Eastern Caribbean Central Bank

Phone: (869) 465-2537

Fax: (869) 465-9562

Email: info@eccb-centralbank.org

Section I - Applicant

Name of Applicant*

Name of Organisation*

Email Address*

Contact No*

Section II - Event

Event Type/Title*

Date of Event*

From what time do you need to access the Auditorium in order to prepare for and host your event?

Start Time*

End Time*

Start Time of Event*

End Time of Event*

No. of seats required (495 available – 395 downstairs, 100 upstairs)*

Which of the following officials will attend the event?* Governor General Ministers of Government Other Officials No Officials

What type of banner will be displayed?* Electronic (from your laptop) Free standing Hanging (from ceiling) No banner

Will event be video-recorded?*

Yes No

Will event be live-streamed?*

Yes No

Section III - Rehearsals

Do you intend to have rehearsals for your event? If yes, please indicate below.

Date

Start Time

End Time

Date

Start Time

End Time

Date

Start Time

End Time

Section IV - Required Seating Arrangements

Type of Seating Arrangement Required* Theater Style Double Horseshoe Single Horseshoe

Section V - Required Equipment and Services

Kindly indicate all equipment and services required for your event.

Microphones

	No. Available	Required by Client
Pin-On/Lapel - Shure ULX-M1	6	Yes
Cordless Handheld - Shure Sm58	1	Yes
Cordless Handheld - Shure SM86	3	Yes
Corded Mic - Shure SM58 / Samson R11	4	Yes
Conference Microphones - Bosch CCS800	68	Yes

Media Input

	No. Available	Required by Client	No. Required
6 Disc CD Changer - Pioneer PD M427	1	Yes

Intercom

	No. Available	Required by Client	No. Required
Short Range Handheld Radio - Motorola Pro-Talk	5	Yes

Multi-media Presentation

	No. Available	Required by Client	No. Required
Projector - NEC NP-M300W	1	Yes

Tables and Chairs

	No. Available	Required by Client	No. Required
Plastic Chairs	65	Yes
Lobby - Plastic Tables (Select from the two options below) 1. To mount display in lobby 2. For Food Service (Pre-packaged items only)	25	Yes

Other Services

	No. Available	Required by Client
Recorded Version of Federation’s National Anthem	1	Yes
Podium	1	Yes
Outdoor Space for Food Service (Pre-packaged items only)		Yes
Ambient Music		Yes
Internal Parking	20 spaces	Yes
DSL Feed to allow for internet service (Client to make arrangements with LIME to obtain the service)		Yes

Additional Equipment/Services Required by Client

In consideration of usage of the Sir Cecil Jacobs Auditorium, I the undersigned, representing

Name of Organisation*

acknowledge that I have read and understand the Terms and Procedures of Reservation and Use of the Sir Cecil Jacobs Auditorium, and hereby agree to be bound by the conditions set forth therein.

Name (Block Letters)*

Date*

Application For Use of Sir Cecil Jacobs Auditorium

Eastern Caribbean Central Bank
Headquarters

THE ECCB

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