Room Request Form

Please fill out this form as completely as possible. If you require the use of our facilities for multiple days, you will need to submit a form for each day.

Name of Event:
Purpose of Event:

If other, please specify:
Date:
Time:
 From to
Room(s) Requested (please check all that apply):
4001 multipurpose room
4001 conference area
4117 classroom 4118 classroom
Number attending:
Who will be attending? (please check all that apply):
UNR students       Non-UNR students
UNR faculty/staff
Other (please specify below)
If this is a UNR event, please provide your department name and campus mailstop:
 Department: Mailstop:
If this is a UNR event and not an academic class, please provide an account number to be charged:
Account number:
If this is not a UNR event, please provide an address to which we can send an invoice:
Contact information:
Name: 

Phone:

Email: 
Yes, I understand that the Raggio Research Center will charge for this event unless it is a UNR academic class.

Yes, I understand that the Raggio Research Center is not responsible for setup or cleanup of my event, and I have provided for adequate time for setup and cleanup within the timeframe of this event.
University of Nevada, Reno This site is maintained by Samantha Label.
This page was last updated on .

Home | Site map (Flash-free) 		William Raggio Building (WRB) Room 4001
University of Nevada, Reno
Mailstop 432 | Reno, NV 89557
Phone: (775) 784-8288 | FAX: (775) 327-2016