Form

Company/Organization

Person making request

First Name Last Name

Phone Number

- Area Code Phone Number

E-mail

Billing Address

Event Name

Event Start Date/Event Start Time*

/ Month / Day Year

at

: Hour Minutes

How much pre-access time do you need?

Event End Date/Event End Time*

/ Month / Day Year

at

: Hour Minutes

How much post-access time do you need?

Event Description

Additional Notes:

Expected Attendance

Campus

Building or Room Preference

Desired Room Setup

Special Room Setup Instructions

Audio Visual Needs (additional charges may apply)

In Room Technician DVD/VHS Easels Microphones LCD Projector Laptop Polycom (Speakerphone) Phone Access Wireless Guest Account

Serving Food?

Yes No

Food Provided by?

Sodexho (On Campus Caterer) Caterer Undecided No Caterer

* We require 3 business days to process requests.
* Space is not guaranteed until you receive official confirmation from Events Management.

Security Code*