Facilities Usage Form

Outside Organization

Note:  Submitting this form electronically will provide an e-signature.

Please use the following form or send an email inquiry to: reservations@whope.umpi.maine.edu


Organization Name:

Requestor's email:

Name of Person Making Request:

Name of Contact Person:

Phone Number:     Email Address:

Address (include city, state and zip code):

Please fill below if bill not sent to above contact person

Person to be billed:

Organization Name:


Email address:

Phone number:

Address (include city, state and zip code):


Day/Date of the event (e.g. Tuesday, July 19, 2005) Can request multiple dates for same event


Time in:     Time out:     Start time of the event:

Facility(ies) requested:


Anticipated attendance:

Event description: Please be as specific as possible!


Who may attend?         Admission fee

Facility fees:                 Alcoholic beverages?    Yes    No

Please list any audio visual requirements


Food service instructions see Catering guide


Serving time:

Extra table cloths:     Color napkins:

Special setup instructions


Special setup for physical plant


Notes:


Return to:   Room Reservation Instructions      Conferences and Special Programs Home Page


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Updated July 20, 2005