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Reserve a Room
Organization Name:
[eg. Career Services]
Title of Event:
[eg. Speed Networking]
Event Date:
[eg. 07/28]
     Day:
   
   Start Time:
  
   End Time:
   [eg. 10:30]
Estimated Attendance:
Room(s)/Area(s) Requested:
1st Choice:
 2nd Choice:
 
Responsible Party/Contact Person:
E-mail:
Phone:


PROGRAM INFORMATION

Content of Program (theme, topic):
Speaker(s):
Name:
 Affiliation:
 
Name:
 Affiliation:
 
Other Sponsoring Organization(s):
Type of Set-up (if other than classroom set-up, please advise and/or attach diagram):
Equipment Needs:
 Tables
 Extra Chairs
 Microphone
 Podium
 Easels


Additional/other equipment:
Other notes/explanations: