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Eastern Illinois University - Charleston, IL


  Facility Request Form

 
Your Name*:
E-mail*:
Address*:
City*:
State:
Zip*:
Phone*: () -
 
Event Information
Event Title*:
Organization Name*:
Room(s) Requested *
Room(s) Attendance *
Date(s) of Event * (if more than 1 date, enter dates in comment section)
Start Time*:
End Time*:
Do you want Panther Catering to contact you*: Yes
No
Audio/Visual Request
Chalkboard: Easel: Lecturn (Table Top):
Microphone(s): Overhead Projector TV/VCR
Portable Staging Portable Screen Slide Projector
Compact disc player Powerpoint Computer
Comments

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