Request for Reservation
For Use of Space at Middle Georgia State University
Welcome to Georgia's newest public university!
Organization or Individual Name *
Your answer
Name of Contact Organizing Proposed Event
Your answer
Contact Telephone Number *
Your answer
Contact E-Mail Address *
Your answer
At which Middle Georgia State University location would you like to host your event? *
Do you have a specific space or room in mind for your request? If so, please list here:
Your answer
Length of Event (including set-up) *
Proposed Event Start Date *
MM
/
DD
/
YYYY
Proposed Event End Date *
MM
/
DD
/
YYYY
Proposed Event Times (list for each event day) *
Your answer
Type of Event *
Estimated Number of Participants *
Your answer
Type of Organization *
Will you need catering? *
Will you need assistance with event planning or conference support? *
Please list any general comments, questions or information regarding your request:
Your answer
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