MAUCKER UNION

RESERVATION SERIES REQUEST

DIRECTIONS: Please use the TAB key to move between fields. When done, click on submit button at the bottom of the form.

Customer/Department/Organization:

Requestor's Name:

E-Mail Address:

Address:

Address:

City: State: Zip:

Phone Number:

Please complete the following information for your event request:

Event Start Time: Event End Time:

Setup Time Need: Before? After?

Room Requested: 1st choice 2nd choice:

Attendance Expected:

Name of the Event (Title):

Are you selling any products/tickets?

Please explain what products are you selling and for what price?

YOU ONLY NEED TO COMPLETE THE FIRST COLUMN
UNLESS THE INFORMATION CHANGES FROM THE ABOVE INFORMATION PROVIDED:

Special Notes/Equipment Requested:

Thank you for submitting this request. Please click for your request to be processed. You will receive an e-mail confirming your reservations in 1-2 days. Thank you.