Name
of Event
Date
of Event
Number
of People
Who
is the Audience?
Purpose
of Room Reservation
Requesting
Department or Organization
Contact
Name
Email
User ID
Contact
Telephone #
Room
Information
Use
of Room (small groups, lecture, luncheon,
etc.)
If
Small Groups, Number of Rooms and Number of
People Per Room
Actual
Event Time From
To
(do NOT include prep or cleanup time)
Will
Food be Served?
No
Yes
Audio
Visual Equipment Needed?
No
Yes , then contact AV Office directly
with equipment requirements at SSOMAVSupport@lumc.edu
Different
Room Setup?
No
Yes , then contact Housekeeping
at x6370 AFTER your room assignment is confirmed.
Room
Information
Use
of Room (small groups, lecture, luncheon,
etc.)
If
Small Groups, Number of Rooms and Number of
People Per Room
Actual
Event Time From
To
(do NOT include prep or cleanup time)
Will
Food be Served?
No
Yes
Audio
Visual Equipment Needed?
No
Yes, then E-mail AV Office directly with
equipment requirements at ssomavsupport@lumc.edu
Different
Room Setup?
No
Yes , then contact Housekeeping at
x63730 AFTER your room assignment is confirmed.
Room
Information
Use
of Room (small groups, lecture, luncheon,
etc.)
If
Small Groups, Number of Rooms and Number of
People Per Room
Actual
Event Time From
To
(do NOT include prep or cleanup time)
Will
Food be Served?
No
Yes
Audio
Visual Equipment Needed?
No
Yes , then contact AV Office directly
with equipment requirements at SSOMAVSupport@lumc.edu
Different
Room Setup?
No
Yes , then contact Housekeeping at
x63730 AFTER your room assignment is confirmed.
Room
Information
Use
of Room (small groups, lecture, luncheon,
etc.)
If
Small Groups, Number of Rooms and Number of
People Per Room
Actual
Event Time From
To
(do NOT include prep or cleanup time)
Will
Food be served?
No
Yes
Audio
Visual Equipment Needed?
No
Yes , then contact AV Office directly
with equipment requirements at SSOMAVSupport@lumc.edu
Different
Room Setup?
No
Yes , then contact Housekeeping at
x63730 AFTER your room assignment is confirmed.
Additional
Information
