Name * First Name Last Name Email * Cell Phone * (###) ### #### Department * Dat of Event * MM DD YYYY Start Time of Event * Hour Minute Second AM PM Location or Room Number * End Time * Hour Minute Second AM PM Please provide any other information we would need to know to fulfill your Performance Request request: If requesting music, be specific to what version of song or playlist. Terms of this request: * -Equipment must be reserved at least 7 days in advance for all Multi-Purpose Room events. -All other requests are on a first come, first served basis. -Taking any Music technology equipment out of the building is not permissible. -Request for technology does not confirm a reservation. a Follow up email confirming the request will indicate that we are able to accommodate this request. I have read and understand the terms and conditions of my request Thank you!