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Request for Room for One-Time Event
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| 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 | _____________________________________________________ |
| _____________________________________________________ | |
| Mailing Address | _____________________________________________________ |
| Department/Office | _____________________________________________________ |
| Fax | _____________________________________________________ |
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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. |
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| Office Contacts: | |
| MaryAnne Black | 274-1515 |
| Ellen Richey | 274-1513 |
| Fax to: 317-278-2240 | ||
Mail to: |
Visit us at : |
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