Room Reservation Form

NameEnter your name
Student OrganizationEnter Student Org name
Phone NumberEnter daytime contact number
Email Address
Name of EventPlease provide the name of your event
Preferred date(s)Please provide pertinent date(s)
Times of EventPlease provide start time and end time of your event
Number of Attendees
Space/Room RequestWhat room/space will you need?
Description of event/program must include event/program description
Set-up or equipment neededPlease indicate if you will need tables, chairs, AV equipment, etc. Also, what time is "set up time", prior to the event?
Alternate Space Request
Other Information
FORT LEWIS COLLEGE      1000 RIM DRIVE DURANGO, COLORADO 81301      (877)FLC-COLO(TOLL FREE)      ADMISSION@FORTLEWIS.EDU