Admissions Menu

Facility Usage Request

 

Organization:*
Event Location:*	Columbia Site
Event Name:*
Day One:*
Date:*
Start Time:*
End Time:*
Purpose of use:
Approximate number of people anticipated attending the Event:
Will meals be served in the facility?	Yes No
If yes, please describe the arrangements:
Is audio-visual equipment being requested from the university?	Yes No
If yes, please describe the requirements/arrangements:

Contact Information:
Contact Name:*
Contact Title:
Contact Email:*
Contact Phone:
Contact Cell Phone:*

Billing Information:
Attention To:
Entity:
Address:
City:
State:
Zip:
Email:
Phone:
Cell Phone:
Fax:
Federal ID number:

Confirm:
I agree to the William Woods University Facility Usage Regulations	Yes