Meeting Room Reservation Form

Your Contact Information

* Full Name:

* E-mail Address:

* Department:

Reservation Information

* Room:

- - - Select One - - - Seminar room 100 (seats 17) Conference room 102 (seats 72)

* Description of Activity/Event:

* Requested Date:

mm/dd/yy

* Time of Day Needed:

• From:
• To:

* Planning to Serve Food or Drink?

• Not serving any Food or Drink
• Food only
• Drink only
• Food and Drink

* Person Responsible for Clean Up:

Additional Comments/Needs: