Facility Reservation Form 2

Event Information
Group or Function Name
Speaker / Leader :
Contact Person:
Phone Number:
Email Address:
Number of Participants Expected:
Room(s) Requested:
Beginning Date:		Day:Time :
End Date:		Day:Time :
		One Time Weekly Monthly
Set Up Information
8 foot tables (Please indicate the number):
Chairs (Please indicate the number):
Please indicate the equiptment needed:		TV/VCR TV/DVD Piano
Please indicated the supplies needed:		Paper Plates Styro Cups Paper Napkins Styro Bowls Plastic Utensils
Other Comments: