Name *

First: Last:

Email:

School Affiliated *

University Organization/Department:

Organization/Business:

Event Info

Date of Event: *

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

Room in Interest: * 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

Audio Visual Needed *

Catering Needed *

Student Center Cash Coupon Needed *