Facilities Request Form.  Please be sure to include contact information.
After submitting,  print a copy of your request & retain.

Name*
Member #
Phone*
Email*
Fax
Contact Name
Room*	Ballroom-Entire Ballroom Dance Floor Ballroom Patio CA Conf Rm American Rm Texas Rm French Rm Pavilion AC Atrium AC Meet Rm 1 AC Meet Rm 2 AC Meet Rm 1&2 AC Meet Rm 3 AC Meet Rm 4 AC Meet Rm 3-4 AC Conf Rm The Oaks Other(Specify)
Club/Event Name*
Start Date*
Start Time*
End Date*
End Time*
Is this a Recurring Event?	True
Recurring Frequency
Setup Time (needs to be included in the total requested time)*	None 30 min 1 Hour 1.5 hours 2 Hours 3 Hours 4 Hours 5+ Hours
Cleanup Time (needs to be included in the total requested time)*	None 30 min 1 Hour 1.5 hours 2 Hours 3 Hours 4 Hours 5+ Hours
Catering Needs
Comments
Please type in the characters that you see in order to validate that this submittal is from a person. Thank you.*
All fields marked with an asterisk (*) are mandatory.