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Room Reservation Request Form

Room Reservation Request Form

Please use this form to submit a room reservation request at Bellin College.

Today's Date(Required)

Month

Day

Year

Organization Name(Required)

Non-Profit(Required)

Select all that apply.

Yes

No

501(c)(3) designated

Event Information

Event name, date and time(Required)

Event Name

Date

Start Time

End Time

To add additional dates to your request, please click the + (plus sign) to the right of the End Time field.

Campus Location(Required)

Resch Campus (Eaton Rd.)

Van Asten Campus (Development Dr.)

Either location is fine

Do you require any resources such as a computer, projector, phone, tables, etc.?(Required)

Computer, projector, phone, tables, etc.?

Yes

No

If you need resources, please state which ones.

If you need tables set up in a certain way, please add that in detail.

Food(Required)

Will there be a caterer or any food/beverages be brought in?

Yes

No

If yes, please list the details.

Contact Information

Name(Required)

First Last

Title

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Fax

Do you have any questions or additional information you would like to add?

Questions?

Valerie Karlin
Executive Assistant to the President/CEO
Bellin College
3201 Eaton Rd
Green Bay, WI 54311
920-433-6665 Office
valerie.karlin@bellincollege.edu

BC Family

Visitors

Room Reservation Request Form

Please use this form to submit a room reservation request at Bellin College.

Event Information

Contact Information

Questions?

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