Office of University Development

University House Reservation Request

Please complete the form below to request the use of the University House. All requests are subject to review before final approval is given. You will be contacted by a representative to discuss your request. If you have any questions, please contact us at (479) 575-3757.

*Required Information

Event Information
Event Title	*
Event Date	*
Event Contact Person	*
Event Contact Phone	*
Email	*
Event Start Time	*
Event End Time	*
Access Start Time	*
Access End Time	*
Type of Event	*
(If Other, please describe)
Number of Expected Attendees	*
Rooms Requested	All Rooms
	Gearheart Dining Room
	Delta Gamma Room
	University Room
	Patio
Will catering be used?
Catering Service
Will alcohol be served?	*
	Alcoholic beverage are not permitted if students will be attending.

Special Requirements & Considerations
Flip Charts	Tables
Parking	TV/VCR/DVD
Podium	Chairs
Microphone	Projector
Conference Phone	Screen
Piano

Client Information
Name	*
Department/Unit	*
Address
City
State
Zip Code
Day Phone
Evening Phone
Fax

Payment Information
Foundation Acct Number
Expenses Paid By
Address
City
State
Zip Code

Additional Information
	I would like correspondence sent to me concerning this reservation request at the email address entered on this form.