Room Reservation Request Form

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Room Reservation Request

*Note: You may be asked to change room locations to better utilize space within the Center (i.e., if your organization has only 8 people in the MPR, we may move you to the conference room to accommodate a larger group in the MPR)

Contact Full Name (Required)

First & Last Name (ex. John Smith)

Contact Phone Number (Required)

(ex. 5028526656)

Contact Email Address (Required)

Organization or Department Name (Required)

Name of Event (Required)

Date and Start Time of Event (Required) // :

Date and End Time of Event (Required) // :

Room Requesting (Required)

Please select only ONE room.

Multi-purpose Room Conference Room Student Lounge

Approx. Number of People Expected (Required)

Food will be served (Required) Yes No

Additional Meeting Dates

Please use this option ONLY if you have multiple meeting dates (for the name of event listed above) that will take place during the SAME time each meeting date. This includes weekly/monthly organization general body and/or executive board member meetings. Please list the additional dates here using the DAY, DATE FORMAT (EXAMPLE: WEDNESDAY, MAY 12, 2010; WEDNESDAY MAY 23,2010).

Room Setup Requesting (if any)

Additional Comments

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CULTURAL CENTER

Room Reservation Request Form

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