Name *

First: Last:

Email: Phone:

Are you affiliated with Eastern Michigan University?

What University Department or Organization?

If you are not affiliated with Eastern Michigan University, what is your group/organization?

Event Information

Name of Event: *

Date of Event: *

Starting Time of Event:

Ending Time of Event:

Approximate Number of Guests: * 1 - 16 17 - 30 31 - 50 51 - 80 81 - 100 101 - 150 151 - 200 200+

What room would you like to reserve? * Room 104 Room 204 Ballroom A Ballroom B Ballroom A&B Room 300 Room 301 Room 302 Room 304 Room 310 A Room 310 B Room 310 A&B Room 320 Room 330 Room 343 STAFF ONLY Room 347 STAFF ONLY Room 350 Room 352 Room 360

What type of room setup will you need? * Classroom Banquet Theatre Boardroom Open Square U-Shape Other

What type of event is this?

Please identify any services your event will require. Check all that apply.

Questions or Concerns