Webster University: Campus Department Rentals

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Campus Department Reservation Form

Use the following form to reserve space for a campus department:

Contact Information
Department Name:
Contact Person:
Contact Phone:
Contact E-mail:
Department Account No.:

Event Information
Date Needed: Date is a required field	My date(s) are not flexible My date(s) are flexible I need events on multiple dates
Title of Event:
Brief Description:	Please enter a brief description of the event here.
Room Request (1st Choice):
Room Request (2nd Choice):
Reservation Start Time: Please include time for setup, storage and deliveries.	AM PM
Reservation End Time: Please include time for cleanup, storage and tear-down.	AM PM
Actual Event Start Time:	AM PM
Setup Type:	No. of people Examples
Special Setup Requests:	Please detail any special setup requests you may have here.
Audio Visual Requests (for UC Only): Adjustments may be made to best accommodate the room. As per university policy, any request beyond the regular capabilities of the space must be contracted through Switch.	Microphone (standard) No. Cordless Microphone (hand-held) No. Cordless Microphone (lapel/clip-on) No. Laptop Portable Projector Overhead Projector Ethernet Connection VGA Connection for personal laptop TV/VCR/DVD Cart
Special Audio Visual Requests: Adjustments may be made to best accommodate the room. As per university policy, any request beyond the regular capabilities of the space must be contracted through Switch.	Please detail any special audio visual requests you may have here.
Other Setup Needs:	Podium Display Easel Flipchart Dry Erase Board Screen Dry Erase Markers
Other Special Requests:	Please detail any other special requests you may have here.
Will there be food at this event:	Yes No
If yes, food is being prepared by:	Sodexho Self-Prepared Other Name: Phone:
Will alcohol be served at this event:	Yes No If yes, please reveiw the University alcohol policies and procedures.
Parking Parking on campus is by permit only, Any guests must park in a registered visitor parking space in the Garden Park Plaza.
Is reserved parking needed for any deliveries?	Yes No
If yes, how many space will be needed and what time are deliveries scheduled?	spaces at .




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