Facility Rental Request Form

This is a request form only.  You are not confirmed until you receive written confirmation from the Events Coordinator.

Please complete form and click on the SUBMIT button.

Group Name:

Contact Person:

Phone number:

Address: , City: State: , Zip:

Email:             Fax number:

Date of Event (mm/dd/yyyy):

Room/Space Preference:               Number of Participants:

Time-frame for Event:     

Audio Visual Equipment Required:
(hold down the control "ctrl" key to make multiple selections)

Catering Requested?   

Room set up for chairs:  

Room set up for tables & chairs