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 in the Kim Building Agree to all policies and procedures for Kim Building reservable spaces * Yes Event Title * Event Date * MM/DD/YYYY Event Start Time * HH:MM AM/PM 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 * (Please provide your UID if you are the person attending the event to gain access to the room) Requester UID Requestor Email * Requestor Phone * Faculty or Staff * Faculty Staff Event Contact (if different from Requestor) (Please provide your UID if you are the person attending the event to gain access to the room) Event Contact UID 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.