Room & Resource Reservation Request Contact Name(Required) First Last Contact Email(Required) What would you like to do?(Required) Reserve a Room Reserve Resources Room ReservationDate of Event(Required) MM slash DD slash YYYY Start Time(Required) Hours : Minutes AM PM AM/PM End Time(Required) Hours : Minutes AM PM AM/PM Name of EventBrief Description of EventNumber of AttendeesAdditional Requirements A/V Capabilities Movable Tables Recording Signage Extra Trash/Recycling Bins Comments/DetailsResource ReservationTechnology Resources Apple Mini display converter Clickers / Classroom response system Conference call line / number Headset system, wireless for office (Plantronics) GPS (Garmin) Battery charger DC/DV (Insten) Laptop computer #1 Laptop computer #2 Laser pointer (Kensington) Laser pointer (Logitech) Power adapter (universal, car) Projector, portable SD cards (please specify quantity in the comments section) SD card cases (heavy duty, 8-card capacity; specify quantity below) Video camera (Flip) Video camera's tripod (Flip) Video card, USB external, VGA (Eclipse) Walkie talkies, with charging stations (specify quantity below) ** Special Request (specify details in Comments below) QuantityPickup Date MM slash DD slash YYYY Return Date MM slash DD slash YYYY Item Pickup I will pick up my items(s) on the day of the request, between 9am and 5pm. I will pick up my items(s) on the day before the request, between 9am and 5pm. I have a cabinet key and will pick up my item(s). * Special request; faculty only, please *Please deliver item(s) to my office on the day of the request. * Special request; faculty only, please *Please deliver item(s) to my office on the day before the request. Comments/Details
