Room Reservation Form

Person making request

Name:

Dept/Group:

Telephone:

E-mail:

Person checking out key (responsible for room and equipment)

Name:

Telephone:

E-mail:

Event Information

Group:

Event title:

Event description:

Date of event:

Recurring event:

Reservation time:

Event time:

No. of participants:

Is event catered?

Room and Equipment

Room selection: Autzen Electronic Classroom (2082) Barnard Electonic Classroom (5420) East Willamette Seminar Room (3622E) West Willamette Seminar Room (3622W) East & West Willamette Seminar Rooms (3622E)

Equipment needed:

Do you need:

Equipment training?

Software installed?