Conferencing - Book an Event (2)

Conferences and Events Request Form
Name*

First NameLast Name
Phone*
Email*
example@example.com
SCSU Department/Org Event?*
Department Name*
Index #*
Is there a registration?*
Is the general public invited?*
Preferred Building(s)*
Preferred Room(s)?*
eg. ENA105, ENS107, ENA109
Organization Name*
Is your Organization a Non-Profit?*
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Phone Number
Please enter a valid phone number.
Organizations Preferred Venue*
Please see our list of Venues
Event Name*
Event Description*
Estimated Number of Attendees*
Event Duration*
Preferred Dates*
Please submit in mm/dd/yy format and comma between dates, i.e. mm/dd/yy, mm/dd/yy
Preferred Time*
Audio / Visual Service Request*
*if yes, please describe
Do you require Food and Beverage?*
*Any food provided must be arranged with University Food Services
Do you require housing accommodations?*
Please provide some general information regarding your request and/or a brief description of your program:
How did you hear about us?
Should be Empty:

Conferences and Events Request Form