Name of Organization:
Requestor ID Number:
Your Title (for all conference correspondence):
Person responsible for financial obligation:
Expected number of attendees:
Description of program or activity:
Is your group nonprofit?
Reservation From Date/Time:
Reservation To Date/Time:
Number of rooms needed:
Request for alcohol present during the event?
Any anticipated ticket/retail/vendor sales?
Setups and Events (may have multiple entries):
Other set-up requests:
Southwestern Oregon Community College does not discriminate on the basis of race, color, gender, sexual orientation, marital status, religion, national origin, age, disability status, or protected veterans in employment, education, or activities as set forth in compliance with federal and state statutes and regulations.