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 (this includes: cars, trucks, vans (under 15 passenger), motorcycles)	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)
OTHER A/V (please list below)
Catering Needs:	Food & Beverage served Beverages Only NONE
Is alcohol being served?	YES NO
Has campus catering been notified of the event? (only complete if food, beverage, or alcohol are being served)	YES NO