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Space Reservation Form

For use of Space at ÌÇÐÄ´«Ã½. Please make requests two weeks in advance.

For ÌÇÐÄ´«Ã½ faculty looking to reserve academic spaces, please visit the 

Required fields are marked with an asterisk

Organization or Individual Name:*
Name of Contact Organizing Proposed Event:
Contact Telephone Number:*
Contact Email Address:*
	At which ÌÇÐÄ´«Ã½ location would you like to host your event?* Macon Campus or Professional Sciences Center (Conference Center) Cochran Campus Dublin Campus Eastman Campus Warner Robins Campus
Do you have a specific space or room in mind for your request? If so, please list here::
	Length of Event (including set-up)* Multi-Day Full Day (Up to 8 Hours) Half Day (2-4 Hours)
Proposed Event Start Date:*
Proposed Event End Date:*
Proposed Event Times (list for each event day):*
	Type of Event* Meeting Seminar Breakfast Lunch Dinner Reception Camp Other
If Other:
Estimated Number of Participants:*
	Will there be minors at the event?* No Yes
	Type of Organization* Internal (Campus Organization or Faculty Member) Government Non-Profit Corporate Private Party
	Will you need catering?* Yes No Depends on Cost
	Will you need assistance with event planning or conference support?* Yes No
Please list any general comments, questions or information regarding your request:

Company Fax