Room Reservation Request Form

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Room Reservation Request Form

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* Indicates required question

Name of Person Requesting Room:

Your answer

Date of Reservation:

MM

/

DD

/

YYYY

Number of Participants:

Your answer

Time Duration (start time to end time):

Your answer

Special Accommodation Needed (i.e., computers):

Your answer

Your Name:

Your answer

Department/School:

Your answer

Meeting Room Layout Preference: (if applicable)

Your answer

Registration Table:

Yes

No

Clear selection

Refreshment Table:

Yes

No

Clear selection

E-mail Address (to send details of confirmation): *

Your answer

Submit

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