Room Reservation Form
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1.
Name:
*
2.
Phone Number:
*
3.
E-mail Address:
*
4.
Number of people anticipated at your meeting:
*
PLEASE NOTE: If you anticipate less than 20 people at your meeting, please make effort to book Rm. 301 or the Special Ed. room.
5.
Room Number:
*
-- Please Select --
301
302
Special Ed. Conf. Room
6.
Event Date (mm/dd/yyyy):
*
7.
Event Name:
*
8.
Event Start Time:
*
9.
Please choose one:
*
AM
PM
10.
Event End Time
*
11.
Please choose one:
*
AM
PM
12.
Is this a recurring event?
Yes
No
13.
If yes, please enter additional dates for the event above in the space provided below (If times will be different, please specify):
