**************Facilities Request***************
Your Name
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Email
Phone Number
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Janitorial
Building and Room #
Cleaning
Replenish Supplies
Repairs of Equipment or Facilities
Building and Room #
Work needed
Set-Up of Room(s)
Event Name
Date of Event
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Month
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Day
Year
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Hour
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10
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40
50
Minutes
AM
PM
AM/PM Option
Building and Room #
Set-Up Date/Time
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Month
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Day
Year
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Hour
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10
20
30
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50
Minutes
AM
PM
AM/PM Option
Set-Up With
Round tables
Rectangular Tables
Podium
Chairs
Sound System
Sound System
Head tables (# of chairs)
A/V Equip (give details)
Specify Other Equipment
Suggestions
Submit Form
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