REQUEST FOR USE OF
STATE CAPITOL COMPLEX FACILITIES

When completing this form, use the Tab key to move from box to box.
When completed, print and mail to the address below.

To view the Capitol Complex Events Calendar


 
Application Date: Event Date:
                                                 Sun Mon Tue Wed Thu Fri Sat
Sponsor/Organization
(If your organization goes by an acronym (initials), indicate full name of organization)
Contact: Work Phone:
Cell Phone: FAX: Home Phone:
E-mail:
Address: State Zip:
Alternate Contact: Phone:
Event Description:


Type of Event: Employee Activity Press Conference Public Activity/Rally
Display (Indicate size and number of pieces)
Other(Describes)
Building:
Space Requested:
Expected Attendance: < 25 26-100 101-500 501-1000 >1001
(Time) From: To:
Equipment you will be using:
Noise that would disrupt the normal business of office employees and visitors to the Capitol Complex
is not permitted. Effective July 1, 2008 - the Iowa State Capitol Complex is a Tobacco and Smoke Free Environment.

Iowa Department of Administrative Services
Attn: Nancy Williams, Events Coordinator
Hoover State Office Building, A Level
Des Moines IA 50319
Phone: 515-281-7259
Fax: 515-242-5974
E-mail: nancy.williams@iowa.gov