Request a Conference Room Reservation

Event Information

Name of Event

Event Description

Date

Start Time

End Time

Multiple Dates?

Additional Dates

Additional Dates
	Additional Dates	Item weight

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Notes on Additional Dates

Room Preference

BE-318

BE-330

E2-215

E2-280

E2-399

E2-475

Estimated Attendance

Who needs Keycard Access? (maximum 2 individuals)

Please separate each person with a comma. Ex. Leslie Knope (CruzID), Ben Wyatt (CruzID)

Contact Information

Full Name

Contact's Division/Department

Email Address

Add CC

CC Email

CC Email
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Who is running this event? - Old, keep for Data

Faculty member

Staff member

Student organization

Other organization

Affiliation

Day of Event Contact Name

Phone Number

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