Emerson Alumni Hall

EAH Reservation Request

Event Name:

Event Start Date :

(mm/dd/yyyy)

Event End Date:

(mm/dd/yyyy)

NOTE: Requests can be no more than 1 year in advance

# of attendees:

Event start time:

Earliest: 8:30 AM

Event end time:

Latest: 11: 00 PM

Preferred event location:

Event Contact:

Event Contact Title:

Dept/Group:

Contact Address:

Contact Phone & Ext:

Contact Email address:

Contact Fax:

Purpose of Event:

Type of event:

Breakfast (Served or Buffet )

Lunch (Served or Buffet )

Dinner (Served or Buffet )

Reception

Meeting

Other

Will this be a catered event?

Yes No

Which caterer?

Do you plan on serving alcohol at your event? Yes No

Will this event require A/V ? Yes No

Please describe your intended room layout/s:

Comments (A/V needs, equipment needs, furniture, etc.)