CLM-CAA Meeting Room Reservation Request

CLM-CAA Meeting Room Reservation Request
Date Requested

MonthDayYear
Date
Reservation Date

MonthDayYear
Date
Name

First NameLast Name
Department/Organization
Email
example@example.com
Phone Number
Please enter a valid phone number.
Extension (if applicable)
Room Number
Number of Attendees
Start Time

Hour Minutes

AM/PM Option
End Time

Hour Minutes

AM/PM Option
Number of tables needed:
Number of chairs needed:
Will food be served?

YesNo
Are you requesting a food table?

YesNo
Equipment being requested (check all that apply)

BlackboardWhiteboardProjectorTVMicrophoneWi-FiOther
If other, please list here
I understand that I am responsible for any damages that occur during my reservation. I understand that I may be billed for repairs/services to fix any damages that occur.
Date

MonthDayYear
Date
Signature

Clear
Please verify that you are human*
Should be Empty: