Change		Cancellation
1. Program or Event Title:	*
2. Sponsoring Group:	*
3.Contact Person:	*	email:	*
Office Phone #:	*	fax#:
2nd contact phone #:		fax#:
4.Event Date:	*	Event Time:	*
Set-Up Date:	*	Set-Up Time:	*

5. Program Description (lecture, meeting, banquet, etc.):

      *

6. Location (Room# or Name): *

7. Food Service requested: yes   no   Location:

The facility indicated is unavailable for the date and /or time requested. Please contact the Culp Center Reservations Office at 9-4342 for alternative scheduling.

Comments: Please list the requested change/cancellation. Specific details needed:

Audio/Visual/Tech

   

Special Set-Ups

    

   Reservationist Date: *     Confirmation #