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UAA Facility Request Form
for non-class events only.
Sending a request to the Publications & Scheduling Office does NOT mean the room is automatically scheduled for you. We will notify you if there are any conflicts or problems with your request. Allow two working days from your request to be processed. You will receive a scheduled confirmation either by fax or through inter-campus mail.

Name of person or group requesting the use of facility:
Department or School with which affiliated:
Phone Number: Fax Number:
Email Address:
Title of Event:
Exact Dates Event will be taking place:
Start Time of Event: End Time of Event: 
Anticipated Attendance:
Building or Room Preference: 1st Choice: 2nd Choice:
Additional Information:

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Page Updated: 5/3/04  By:  IT Services