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Please complete all blanks to submit your room request:
 
name

street   city  state 

group

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date of event (beginning date if a recurring event)

ending date (if applicable)

Start time: (please indicate a.m. or p.m.)

End time:   (please indicate a.m. or p.m.)

How often will it occur? 

If recurring:

Expected Attendance:

Room Requested

Set Up Instructions (i.e. time, details, etc)

Do you have a key and an access code?

   
 
 
 
 
 
 
 
 
 
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