Space Reservation Form

First Name:
Last Name:
Organization:
Contact Information
Phone Number or Extension:
E-Mail Address:
Best time to contact:

Space Desired
Location:
Room: Choose the Location you are looking to reserve first (above).

Please note: This request form must be submitted at least two weeks before date needed.
Date of Event:
Time of Event:		Start:		End:
Type of Program:

Program open to:
Student body	Faculty	Registrants	Members Only	Public	NA

Estimated Attendance:

The following services will be needed:
Food Services	Facilities	Security	Alcoholic Beverages	IT	NA

Note: You must contact Food Services separately to make all arrangements. If you are requesting IT services please submit your reservation at the Infomation Technology reservation page.

Please list the amount of the following items that are required:

6 ft rectangular banquet table
60" round table (Seats up to 8)
72" round table (Seats up to 10)
Plastic folding chairs
6 ft rect. Banquet table for food
Podium
Microphone
Portable sound system
Platform
16" high
24" high
Cooking grill
Coat rack with hangers
Chalkboard
Sound Technician
Custodian(s)
Electrician
Leave room for IT set up			YES	NO
Miscellaneous
Special Comments