Facilities Request

(* Required Fields)

Name* :
Email Address*:
Phone*:
Dates of Event:
Days of the week: Sun. Mon. Tues. Wed. Thurs. Fri. Sat.

Setup Time :
Start Time:
End Time :
Attendance number :
Event Title:
Additional Details:

Facility Requested:

Check all that apply:
Large Conference Center    Computer Room 111    Computer Room 113    Computer Room 115
Boardroom 101b    Large Half Conference Center    Small Half Conference Center
Other:

Organization Information

Contact Person*:
Name of organization/business*:
Address*:
City*:
State*:
Zip*:
Phone*:
Fax:

Room Arrangement

Select a room arrangement, otherwise last arrangement used in the room is left as is.
Scatter    Square    Auditorium    Classroom    U-shape    Tables    Chairs    Blackboard
Other
Additional Details:

Catering Services

Would you like to use our catering services?
Yes    No