Room Reservation Form for the Quad Cities Campus

Quad Cities Campus

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Room Reservation Request - Community

Please fill information in each field. You can use the "tab" key to move to each field.

Fields that have "*" are required. You will encounter an error upon submission if a required field is left blank.

Please allow 4 business days for confirmation of your request.

General Information

*Name of Organization:

*Formal title of meeting:

Today's Date:
(Date is automatically filled in.)

*Requested by:

*Phone Number: ( ) -

Phone Extension (if applicable):

*Name of contact person present at event/meeting:

*Email address of person who should receive reservation confirmation:

Reservation Request Information

*Date of usage:

** Please note that building access begins at 7:30 am**

*Start Time:

*End Time:

Preferred Room:
*subject to availability

*Number of People:

*Usage Type:
Classroom
Meeting Room/Conference Room
Other **If other, fill out details of request in the additional information box.**

*Your Email Address:
Please note: Your email MUST be valid if you require a response.

Additional Dates or Special Set-Up Needs (i.e. room setup, technology requests):
(type "none" if not applicable)

Please work with facilities and/or tech staff for your event's needs.

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Western Illinois University

Western Illinois University

Quad Cities Campus

Fill out form and submit

Room Reservation Request - Community

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