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Room Booking Form

  1. First Name:(*)
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  2. Last Name:(*)
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  3. Organization:(*)
    Please include the name of the organization looking to book the room.
  4. Phone:(*)
    Phone Number must be in standard format 555-555-5555
  5. E-Mail:(*)
    Must include a valid email address
  6. Date Requested:(*)

    Please select the date you will need this room for.
  7. Times Needed:(*)
    Please include the time of day you'll need to room requested.
    for example 6pm-8pm
  8. Rooms Requested:(*)
    Please select at least one room from the drop down list
  9. Number in your group:(*)
    Please enter the number of attendees you expect to ensure the room selected can accommodate your event.
  10. Anti-spam:(*)
    <b>Anti-spam:</b> RefreshInvalid Input