Event Request Form

Please submit one application for each room you are requesting.

Date(s) of Event:
MO Code:
Starting Time(s):
Ending Time(s):
Department/Group:
Name of Event:
Contact Person:
Phone (day):
Phone (evening):
E-Mail Address:
FAX:
Billing Address:
City:
State:
Zip Code:
Group category:
Parking: (please indicate the number of each type of vehicle you anticipate)	Standard Vehicles 15 passenger Vans Commercial/schoobuses
Requested Room: (Capacity: small 15-24 people; medium 25-60 people; large 60-200 people)
Provincial House:
Number of Participants:
Audio-Visual requested:	Overhead Projector Television/VCR combo Microphones (not available in all rooms)
Has campus catering been notified of the event? (only complete if food, beverage, or alcohol are being served)	YES NO
Catering Needs:	Food & Beverage served Beverages Only NONE