MSU-Billings Outreach Programs - Request A Reservation for Rooms or Equipment

Request A Reservation for Room(s) or Equipment
*Indicates required field

*Event Title:

*Event Contact Name:

*Address1:

Address2:

*City:

*State:

*Zip:

*Phone:

			Ext.
		(999)999-9999

			Ext.
		(999) 999-9999

			Ext.
		(999)999-9999

E-mail:

*Is event to be posted on MSU-Billings' Outreach Website? Yes No
If yes, please answer the two items below:

Enter your event description below as you would like it to appear in the website: (Montana State University-Billings reserves the right to edit)

Provide a brief Biography of the Event Contact Person:

Proposed Schedule

Sun

Mon

Tue

Wed

Thu

Fri

Sat

*Start Date:

	*End Date:
mm/dd/yyyy		mm/dd/yyyy

*From:

		AM		PM	To:			AM		PM
hh:mm						hh:mm

#Weeks held:

Max class size:

Min. class size:

MSU-Billings Location Reservation Request
Please specify the preferred location or type of room you are wanting to reserve, room setup instructions AND any special equipment, multimedia, or other special needs or accommodations.

Special Event Planning Needs
Would you like assistance from MSU-Billings Outreach staff? Please specify ways you would like us to assist you, i.e. marketing, registration, fee payment, catering, IT Tech support, etc.

Other Comments or Pertinent Information