Organization/Office:  

        Contact Person:  

        Contact Phone:  

        Email Address:  

        Today’s Date:       (mm/dd/yy)

        Destination:  

        Date of Event:    (mm/dd/yy)

        Starting Time of Event:     (hh/mm)

        Ending Time of Event:       (hh/mm)

This form needs to be completed and returned to Wendy Ricketts at Campus Services two (2) weeks prior to the event.  Confirmation will be sent via email to the address provided.

Please call 48 hours before scheduled event to confirm reservation to make sure there are no complications.  A 48 hour notice of cancellation of event is expected.