Mediation Center Conference Room Request Form

Leonard L. Williams Justice Center
11^th Floor

Conference rooms are available to court–related businesses (i.e. law firms, mediators, arbitrators) and those conducting business in the courthouse.

CONFERENCE ROOM 1

STEP 1: PROVIDE CONTACT AND GENERAL INFORMATION
Customer Name:
Company:
Street Address:
City:	State:	Zip code:
Phone Number: Extension: Fax Number:
Email Address: @
Emergency Telephone (e.g., inclement weather):
Case Name and/or Case Number:
Will lunch be provided? Yes No
If yes, please provide lunch vendor name:
Lunch vendor telephone number:

STEP 2: SELECT DATES AND ACCOMMODATIONS
Please fill out the information below with your requests. The room will be available to you for the days you are scheduled from 8:30 a.m. to 4:30 p.m., and all rooms have access to a kitchenette. Below are available space accommodations and costs. For questions or information please contact Stacy Alston at 302-255-2612 or Ramona Monsen at 302-255-0311.
Conference Room 1:
Seating:	Seating for 14 at conference table, plus 6 additional chairs in the room
Amenities:	Video and telephone conferencing capabilities, whiteboard, wireless internet access
Cost:	$150.00 per day of trial or $450.00 for any trial 3-5 days
Reservation Request:
Date Begin:
Date End:
Number of People:	#
Room Requested:
Please List Specific Requests:

STEP 3: SUBMIT REQUEST

Please note: THIS IS A FACILITY REQUEST. Space is not reserved until you receive a confirmation by phone or email. We will do our best to accommodate your request based on need and availability. Reservations scheduled by the Court will take precedence and may cause us to choose a room for you or eliminate availability. Thank you.