Facility Request Form

Contact Information:

Name:      

E-mail:

Phone Number:      

Department/Organization:

Space Request:

Size of Group: Space Requested:

First Date:  Month Jan Feb Mar Apr May Jun July Aug Sep Oct Nov Dec    Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    Year 2003 2004    

Start Time: AM PM      End Time: AM   PM

Additional Dates

Decorating, ETC. Time (Service departments will allow time for set-up):

Brief Description of Event:

Set-up Request:

Chairs (#: ) Other Equipment (podium, etc.):

Tables (#: )

Arrangement: (Note: Some rooms have standard set-ups)

Food Service:

Do you require Food Service?   Yes     No

Linen/Table Cloths Paper Supplies China

(The Food Service Department will contact you to discuss menu specifics. If you have not received a call 8 working days before the event, please call the Catering Manager at (585) 594-6549.)

Media Equipment:

Do you require Media Equipment?  Yes No

(** You will be contacted by Media Services to discuss specifics)

Note any equipment that is not listed above:

Parking:

How many cars will be coming from off-campus for this meeting?:

Other Services: (Please call if you need any of these services.)

Comments or Questions?