Room Reservation Request

Organization

Requester contact information (name, phone, email)

Name

Email

Phone

Faculty Advisor/Representative contact information (name, phone, email)

Room requested (select all that apply) - Select -AS-A Room 115AS-A Room 130AS-A Room 212AS-A Room 216AS-A Room 312AS-A Room 316Miner Hall Room 106Miner Hall Room 107Miner Hall Room 108Miner Hall Room 117

Date of event

Time event begins

Time event ends

Event name

Description of event

Point of contact for day of event (name, phone, email)

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