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Women's Center Facility Reservation Form


We are pleased to be able to offer the Women's Center facilities to recognized student organizations, university departments, class sessions, and community agencies for their convenience in holding meetings on a one-time or ongoing basis. Reservations for on-going meetings or events will be taken at the beginning of each term and will be reviewed at the end of each contract period. Requests should be submitted at least two business days in advance of the requested reservation. A Women's Center staff member will contact you shortly regarding the status of your request. With questions, please call the Women's Center at 737-3186.

For One Time Use
For Ongoing Use

Name of responsible individual:

Phone:

Organization/Department Name:

Local Address:

Email (Required)

Event:

Expected attendance:
5    10    15    20    25
30    35    40    45    50
55    60    55    70

Event Date:
Event Time: to

Type of Event:
Group Meeting
Class
Speaker
Social Event
Other
Please Specify:

Equipment Needs:
Flip chart
Overhead projector and screen
Extra folding chairs

Additional Requests, Questions, or Information:

By typing my name below, I am hereby financially responsible for any loss of equipment, breakages, damaged items, including stains on carpeting and furniture, and I agree to follow the usage rules. I realize that failure to comply with any of the above stipulations may render me ineligible to reserve the Women's Center space in the future.
Name:



 

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