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On-Campus Facility Request Form
Event Information
Event Title
*
Enter a title or description for your event.
Date of Event
*
Estimated Attendance
*
Start Time
*
:
HH
MM
AM
PM
End Time
*
:
HH
MM
AM
PM
Food Service:
*
Yes
No
Will you require food service at your event?
Reserved Time
*
:
HH
MM
AM
PM
Set up time prior to event.
Take down time after event
*
:
HH
MM
AM
PM
Please check the appropriate resource
*
Plaza
Foundation Hall
Grand Hall A
Grand Hall B
Grand Hall C
Corridor 100 A
Corridor 100 E
Community Project Room (102)
Foyer 100
Foyer 200
Corridor 200 A
Corridor 200 B
Magnolia Room (205)
President's Reception (206)
President's Conference (207)
University (208)
Southern State (209)
A&M Room (210)
Third District (211)
Game Room (218)
What rooms will you require?
Setup Information
Number of Tables
*
Please enter a value between
1
and
250
.
Number of Chairs
*
Special Setup Requested
Classroom
Lecture
Banquet
Conference
"U" Shape
Other (submit diagram)
Equipment Requested
Laptop, DVD, microphone, etc.
Sponsor Information
Sponsor
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Organization
Name
*
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*
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Please provide a short description of the event with contact information to be posted on the Reynolds Center Event Calendar.
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Southern Arkansas University
. All Rights Reserved.
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,
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,
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Telephone:
(870) 235-4000
Local date/time:
Tuesday, May 22nd, 2012, 8:22 am