Phoenix Facilities Room Use Request Form

Event Details

Event Name *

Event Date† *

Start Time† *

End Time† *

Purpose of Event *

†Security is required after 5 pm and on weekends.
See Room Usage Fees for charges.

Will event be catered? Yes No

Caterer

Phone

Room Requirements

Number of Participants? *

Requested room?

View the meeting room configurations and details [pdf]

Requestor's Information

First Name *

Last Name *

Organization /
Department *

Email *

Phone *

I have read the Room Use Policies and agree to abide by them.

Form of Payment:

A payment choice is required.*

UA Department (please include both account numbers)

Facilities S Number (4 numbers)

University FRS Account

Other Organization (payment by check required)

Bill to:

Name

Organization

Address