Room(s) Requested * Pepco Room 1105 Kay 1 Boardroom 1107 Zupnik Lecture Hall 1110 Kay 2 Boardroom 1111 Kim Plaza (outdoors) Kim Rotunda/IHOF Please read the following: Policies & Procedures for Reserving Rooms Agree to all policies and procedures for Kim Building reservable spaces * Yes No Event Title * Event Date * Event Date Event Start Time * Event Duration * Length of time of event Department * - Select -Administration/Dean's OfficeAerospaceBioengineeringChemicalCivilElectrical & ComputerFire ProtectionIREAPInstitute for Systems ResearchMaterials ScienceMechanicalMTECHOAEEother (Specify) other If other department, specify here: Organization/Sub Unit Requestor * Requestor Email * Requestor Phone * Faculty or Staff * Faculty Staff Event Contact (if different from Requestor) Event Contact Email (if different from Requestor's Email) Event Contact Phone (if different from Requestor's Phone) Attending(#) * KFS# * Business Contact Dept. Business Office Contact Please check all that apply Food/Beverages Weekend event Furniture removal (contact Facilities at x52222 for assistance) Catering Room Please Note: Food and drinks are not permitted in the Lecture Halls. If you require special room configuration/setup you must contact Facilities at x52222 To request the following services, forward the Room Confirmation and list of services required to firstname.lastname@example.org. (Only available M-F 8:30 AM - 4:30 PM) If you require video recording services, forward your request to DETS at email@example.com. EIT A/V assistance Microphone Phone Video Recording Services – First Hour $100, Every Additional Hour $50 Podium for Rotunda CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.