Event Scheduler Request Form

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Group Name
Event Scheduler Request
(return to receptionist)
Contact Person
The items listed below are requested.
Confirmation of event will be sent if time and
Phone #
E-mail
space are available.
______________________
Alternate
Date Submitted:
Contact
Signed:________________________
Phone #
E-mail
Revised 4/27/2016
#
Day/s
Setup Time
Time
Expected
Room
1 Time Event
Recurring?
Cancel or
Date
Days/Date
Event begins
Attendance #
Requested
Yes/No
Date Begins
change
Confirmed
Event ends
Date Ends
(Office)
(Office)
1
2
3
4
5
6
Comments: Note any recurring event date exceptions: (Example Holy Day, Holiday, etc.) If you do not have enough room to list, use back of form.
Please note the number event and state any exceptions.

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Parent category: Business
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