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Campus Center Facility Request Form
Please complete the form below and click on the submit button at the bottom of the page.

(* indicates a required field.)

* 1). First Name
* 2). Last Name
3). Email Address
* 4). Phone Number 1
5). Phone Number 2
6). Fax Number
*7). What room or area would you like to reserve?
*8). What is the name of your event?
*9). Please indicate the Month, Day, and Year you need to reserve the facility:
*10). What time will your event begin?
*11). What time will your event end?
*12). How many people will be attending this event?
13). Please describe how you would like the room setup:
14). Please check any audio/visuals you will need for your event: (Note: If you need to borrow a laptop computer for your event please call the help desk at 325.674.4357) Lectern
Video/Data Projector
VCR
DVD
Flip Chart