Room Arrangement Request Form

This form must be submitted fifteen (15) working days prior to the event; call five (5) days prior to confirm or cancel; 570-385-6090. Failure to notify the Business Office of an event cancellation less than 48 hours prior will result in a $50 set-up fee.

Student Organization? Yes
No
Set-Up Required? Yes
No
Name of Organization
Address 1
Address 2
Contact Person
Contact Person's Email
Phone (Day)
Phone (Evening)
Title of Event
University-sponsored event? Yes
No
Date(s) of Event
Start Time
End Time
Caterer Used
Access needed by Day:
Time:
Estimated Attendance Faculty/Staff -
Students -
Community Members -
Facilities

(Please check all rooms you wish to use)

Equipment Requirements Seating Arrangement for Conference Center

Please Note:

Please call (570) 385-6090 to make arrangements for larger groups

revised 9/24/12