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Facility Usage Request

*

Organization:*	*
Event Location:*	Columbia Site *
Event Name:*	*
Day One:*
Date:*
Start Time:*	*
End Time:*	*
Purpose of use:
Approximate number of people anticipated attending the Event:
Will meals be served in the facility?	Yes No
If yes, please describe the arrangements:
Is audio-visual equipment being requested from the university?	Yes No
If yes, please describe the requirements/arrangements:

Contact Information:
Contact Name:*	*
Contact Title:
Contact Email:*	*
Contact Phone:
Contact Cell Phone:*	*

Billing Information:
Attention To:
Entity:
Address:
City:
State:
Zip:
Email:
Phone:
Cell Phone:
Fax:
Federal ID number:

Confirm:
I agree to the William Woods University Facility Usage Regulations	Yes  In order to use our facilities, you must agree to William Woods University Facility Usage Regulations.