Room/Event Request

Requestor *
Date of Request
Date Room(s) needed *
*Time: From AM PM**	*To AM PM**
Name of Event * (This information will also be listed in the Upcoming Events Calendar)
No. Attending *
Room Preference

AB/Quad Strenger Plaza	Parking Lot Other
No. of Tables needed
No. Chairs needed
Canopy needed
Additional items/Comments
Diagram to follow	Yes No
Contact Person *
Telephone *
Email *	(Must conform to the correct email format)