Date:

*
Example: 9/14/2007
Please use four digits for the year to avoid Y2K problems.

Room Number:

Select a room 236 270 275 Executive Bd Rm Board Rm Cafeteria Hard Drive Cafe *

Event:

*

Start Time:

*Example: 10:00 am
Please make sure the times include enough preparation time prior to and cleanup time after the meeting.

Stop Time:

* Example: 3:00 pm

Host:

First Name *

Last Name *

Contact Person:

First Name *

Last Name *

Contact Phone Number:

*

Email:

*

Special Instructions for Refreshments and Room Setup:

Room Configuration:*
For examples, click here. This will open a new window in your browser. Close it to return to this form.

A
B
C
D
theater style
none

Equipment Requested:

VCR/Television Overhead Projector CD/Cassette player Movie Screen Microphones
For AV inquiries, call 71464-1511, ext 2509

Audience Size:

*

Budget Number:

Servings:Coffee:

Yes No *

Soda:

Yes No *

Tea:

Yes No *

Ice Water:

Yes No *