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Facility Usage for Outside Organization
General Guideline & Information - Please view before filling out the usage form
Facility Pricing Structure
Step
1
of
3
33%
Name of Individual Requesting Rooms
Name
*
First
Last
Email
*
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell Phone
Name of Organization Requesting Rooms
Organization Name
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
Contact Phone
Event Room Request Information
Beginning Date of Event
Month
Day
Year
Time Event Begins
:
Hours
Minutes
AM
PM
AM/PM
Ending Date of Event
Month
Day
Year
Time Event Ends
:
Hours
Minutes
AM
PM
AM/PM
Number of people expected at event?
Purpose of room usage?
Does this event repeat?
Yes
No
How does event repeat?
Daily
Weekly
Monthly
Yearly
End Date of Repeating Event
Month
Day
Year
Rooms/Equipment Needed for Event
Types of rooms that are being requested?
Small Room (0-15 people)
Medium Room (0-20 people)
Large Room (0-40 people)
Student Center (200 people)
Auditorium (300+ people)
Kitchen
Gathering Area (Lobby)
Cafe 4040
Check all that apply.
Equipment/Furniture Needed for Event
8 ft. Rectangle Tables
6 ft. Rectangle Tables (18" width)
Round Tables
TV/Screen
Microphone/Sound System
Computer
DVD
HDMI hook-up
Equipment Needed
Please list all equipment that will be needed for your event.
Name
This field is for validation purposes and should be left unchanged.
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