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Request Form
Room Request Form
Name:
Department or Company Name:
Phone Number:
Fax Number:
Title of Event:
Exact Date(s) of Event:
mm/dd/yy
Start Time of Event:
End Time of Event:
Room Preferences:
Room 119 (lab capacity: 20 + instructor)
Room 120 (room capacity: 22-24)
Room 133 (lab capacity: 24 + 1)
Room 150 (lab capacity: 23 + 1)
Room 144 (room capacity: 14-16)
Room 145 (room capacity: 24-26)
Please check two rooms that you would prefer. If one is not available, the other will be chosen for you.
Additional Needs, Comments and/or Requests:
E-mail:
Address:
Purpose of Event:
Number of Attendants Expected: