Request for Room for One-Time Event
 

Event Title _______________________________________________________
Event Date _______________________________________________________
Confirmation # _________________ (Registrar use only)
Estimated Attendance _________________  
Beginning Time __________a.m./p.m. Ending Time __________a.m./p.m.

 Preferred Buildings/Rooms

___________________________________________________________________
___________________________________________________________________
Requesting Person _____________________________________________________
Phone _____________________________________________________
E-Mail _____________________________________________________
Mailing Address _____________________________________________________
Department/Office _____________________________________________________
Fax _____________________________________________________

You will receive a confirmation of the booking from the Office of the Registrar. If you need to change any information for your event, please have your Confirmation number available for us.
Office Contacts:
MaryAnne Black 274-1515
Ellen Richey 274-1513
Fax to: 317-278-2240

Mail to/Visit us at :
Office of the Registrar
Campus Center, Suite 250
420 University Boulevard
Indianapolis, Indiana 46202-5144


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