Today's Date: ___________________
Requestor's/Contact Person's Name: ______________________________________________
Room Requested: Scarle Philips Room _________ Room 160 _________ Sun Porch __________
Type of Event To Be Scheduled: ___________________________________________________
Number of Persons to Attend: _______________________________________________
Day(s) and Date(s) of Event: ________________________________________________
Start Time: _____________________________________________________________
End Time: _____________________________________________________________
Set Up Time Needed: _____________________________________________________
Break Down Time Needed: _________________________________________________
Equipment Needed: _____________________________________________________________
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