Required fields are marked with ( * ).
Reservation made by : * Reserved for (if different) : Phone: * Email: * Course or Special Event: * Program & School: *
Event Date: * Event Time: * Staff needed to run booth?: * YesNo Wireless access for non-Lesley guests?:YesNo Dates available for orientation: * Times available for orientation: *
Institution you are video conferencing with: Contact at Institution (for test call):
By checking the box below, I hereby acknowledge that I must provide University Technology 2 weeks notice prior to the event date if I am doing video conferencing or need someone to staff the booth. I understand that I must provide 1 week notice prior to the event date for a technology orientation to the room. I understand that staffing is currently only available Monday through Friday from 9 AM to 5 PM. I understand that until I receive an email confirmation I am not guaranteed the equipment I requested. I have read and agree to the terms above. *