Meeting & Program Room Request Form
Today's Date: *
MM
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DD
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YYYY
Date of room request: *
MM
/
DD
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YYYY
Please select room desired: *
Time requested (please refer to our open hours when making your request): *
Length of meeting / program: *
Organization Name: *
Applicant Name and Position: *
Contact number: *
Contact email: *
Type of meeting (please be as detailed as possible): *
Any Special Requirements or AV Equipment needed (please be specific): *
Description of room setup (Program Room only): *
Expected Attendance: *
Will Refreshments Be Served? *
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