Winston House: Single Day/Weekend Event Reservation Request
Space Requested:
*
LG-01 Media Room/Classroom
LG-03 Student Reading Room & Computer Lab
G-10 Classroom
101 Seminar Room
102 Seminar Room
Seminar Rooms 101 & 102
201 Faculty Office
202 Faculty Office
203 Classroom
Faculty Residence
Date(s) Requested: (mm/dd/yyyy)
From:
-
Month
-
Day
Year
at
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
To:
-
Month
-
Day
Year
at
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
Time Requested:
From:
*
To:
*
Number of persons attending:
Seated?
Yes
No
Standing?
Yes
No
Organization Hosting Reservation:
Individual Making Reservation:
Name:
*
E-mail Address:
*
Phone Number (including country code if not in U.S.):
*
Fax Number:
Address:
City:
State:
ZIP Code:
Equipment Needed:
Multimedia projector
Podium
Slide projector & Screen
VCR & Screen
DVD Player & Screen
Computer w/Projector & Screen
Video conferencing technology -only available in room 101
Smart Board-only available in rooms 101 & 102
Please indicate any special equipment or setup requested:
Room Setup for the room you wish to reserve:
Theater-Style (chairs in rows)
Dinner-Style (chairs around round tables) -additional fee
Conference-Style (central table with chairs)
Please describe any special requirements you have for your event:
I have read the Winston House Use Policy:
Yes
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