Room Reservation Request Form

Please fill in as much information as possible to enable us to fulfill your request as efficiently as possible.

Please allow at least 1 - 2 weeks processing time before your scheduled event for processing & mailing time.

Event Information

 Event Name: 

Start Date  End Date 
Start Time  End Time 

Organization/Business Information

Business Name   

   Department      
Contact Person   
Mailing Address 
  City/State/Zip    
        Phone          
        Email           
        Fax #           
  Type of Business 

Additional Information

Number of People Expected 

Equipment Needed 

Additional Equipment Needed 

Room Preference 

Additional Room Needed

Food And/Or Refreshments Needed?                Yes               No 

(Someone from our food services department will contact you to make the necessary arrangements)

Table/Chair Arrangements Information (This will not apply to classrooms, lecture halls or conference rooms - only to special purpose rooms such as the Terrace Room, Ahrnsbrak Room, Dining Rooms, etc. where seating is flexible).

  Check this box if you would like a call back as soon as possible to confirm reservation or to answer any questions you may have regarding this reservation or the resources we have available on campus.  If this box is not checked we will only call if there are questions we need answers to in order to complete your reservation.  Otherwise we will make the reservation and a Confirmation Contract will be sent to you in the mail within a few days with further instructions.

Important Information

Thank you for allowing UWMC to process your request.