On-site Contact Person

*Name:

*Email address:

*Telephone number:

Have you seen our ad inside
the UM Blue Bus?: yes no

*Event Title:

This will be displayed in our building, so it should be the title your guests will recognize.

Overall description:

Will your group charge a registration fee for this event? Yes No

*The name of your department, organization, group, or company:

Please indicate if your group is affiliated with the University of Michigan:
University of Michigan Department
University of Michigan Student Organization
Other or not affiliated

*Payment method: (Please select) Check Visa MasterCard American Express

*University short code or
SOAS account number:

We will collect further payment details later via phone or fax.

Billing Address

Line 1:

Line 2:

City:

State:

Zip code:

This request covers details for one room or space in our building. If you need multiple rooms, request additional rooms with the pertinent information (Scroll down and use the 'Request another room' button). To receive the best possible space and equipment availability, please provide as much information as possible.

Date and Times

Setup Details

*How will you be using this space?

*Basic room setup: (Please select) Auditorium Banquet rounds Boardroom Chairs on perimeter Classroom Empty Exhibition tables Standing reception Other...

*Number of attendees:

*Would you like linens
on the tables? (Please select) No Yes

*Custom setup description:

Catering Details

*Will food or beverages
be served in this room? (Please select) No Yes

Caterer: Not yet selected Angel Food Catering Glass House Catering Katherine's Catering Pizza House University Catering Zingerman's Catering

*Do you plan to serve alcohol? (Please select) No Yes

Equipment:

Additional Information

Other information, comments, or concerns:

I WOULD LIKE TO REQUEST AN ADDITIONAL ROOM