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Space Reservation Request

Submitted by wallr on Mon, 02/25/2013 - 12:13pm

Full Name: *

Phone Number: *

Email: *

University Status: *

Undergraduate

Graduate

Faculty

Staff

Community Member

Organization: *

Title of Event/Meeting: *

Time Beginning: *

:

am

pm

Time Ending: *

:

am

pm

Recurrance Pattern: *

One Time

Daily

Weekly

Monthly

Number of Recurrances: *

Days of the Week: *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date Beginning: *

Date Ending: *

Number of Guests Attending: *

Rooms Requested: *

Front Room

Dining Room

Main Office

Kitchen

Back Office

Basement

Garage

Side Yard

Will Food Be Served?: *

Yes

No

Unsure

Any special requests, comments, or questions?: *

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Pride Center 1553 SW A Ave, Corvallis OR 97333 541-737-9161, Pride.Center@oregonstate.edu

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