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Facilities Request Form
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* Indicates required question
Email
*
Your email
Visitor/Name of Event/ Contact info (name, phone, email)
Your answer
Number attending
Your answer
Event begins
MM
/
DD
/
YYYY
Event begins
Time
:
AM
PM
Event ends
MM
/
DD
/
YYYY
Event ends
Time
:
AM
PM
Facilities Required
BERC Auditorium
BERC Board Room
Green Room
Dairy Barn
Dairy Barn Classroom
Horse Barn
Heritage Exhibit
Lundy House
Shadow Lawn
Room at Middleton Miller Student Housing Complex
Farm Office Conference Room
Other:
Other requests/ event info
Your answer
Check services needed
Housekeeping
Custodial
Cafeteria
After Hours Coverage
Charge services? To whom/how much?
Your answer
Room Configuration
Traditional Speaker/Audience
Tables in U-Shape (21 maximum)
Tables in two rows (20 maximum)
Tables in Rectangle (24 maximum)
Tables in Modified U-Shape (36 maximum)
Chairs in a V-Shape
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