Contact Information

* Event Coordinator :
* Department :
* Email Address:
* Primary Phone (10 digits):
* Secondary Phone (10 digits):

Room Information

* Please indicate the room you would like:
* Set-up:

Event Information

* What is your campus card number for billing purposes? (Account codes are no longer accepted.)
* Event Name (Please be specific):
* Date of Event:   
* Event Start Time: :
* Event End Time: :
* Number of Guests:
* Will there be food?:
* If yes, which approved caterer will be providing services?
* Will you be having any performing groups? If so, who?:
* Instructions for group parking
   

* = Required Field