Hodges Connections Room Reservation – Tenants Suite 3500 75 Fifth Street, Atlanta, Georgia 30308 The H. Wayne Hodges Connections Room is a meeting and event facility for the use of the Georgia Institute of Technology, as well as, ATDC / TechOnFifth tenants. 24 Hour Cancellation Policy: Should you cancel your event with less than 24 hours notice, you will be charged your full anticipated rate for use of the room.Company/Organization Name:* Mailing Address:* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Name:* First Last Contact Phone:*Contact Email:* Start Date of Event:* MM slash DD slash YYYY End Date of Event:* MM slash DD slash YYYY Start Time:* : AM PM AM/PM End Time:* : AM PM AM/PM Purpose of Event:*Number of Attendees:* Room Set-Up (please select one):* Theater-Style Classroom-Style Please check all A/V Equipment required for your event: Hand-held Microphone Is this event catered?* Yes No Will you require after-hours HVAC ($35.00/hr charge)?* Yes No Special Instructions / Requests:Please direct all requests and inquiries to facilities@innovate.gatech.edu. If you wish to provide a diagram of the room layout, please email your document to facilities@innovate.gatech.edu. Δ