Rental Space Request Form

Rental Space Request Form
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Business Name:
Grad Date (Alumni) if applicable:
Type of Event:
Were you recommended by a UHC employee? If so, who?
Start Date of Event:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date of Event:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Start time and End time for event:
Number of attendees:
Location of Event:
Number of rooms needed:
Do you need IT for the event? Ex: projector, Wi-Fi, audio, microphone, etc. Please fill in the IT Event Request Form.
Will you serve food at the event? If so, what are your needs?
Other comments:
Should be Empty: