COM Change Form

Tracking Number

1. Person Requesting

Name

Phone Number

Number Attending

Event Start Date

Event End Date

Event Start Time

Event End Time

Start Time for Setup

Food Served?

Alcohol Served?

2. Event Information

Name of Event

Type of Event

Sponsoring Department

Speaker Name

High Profile Speaker?

3. Choose A Room

Preferred Room Space

4. Event Open To

Select a choice

5. Financial Arrangements

Admission

Registration

Donations

Items for Sale

6. IT Equipment Needed (charges may apply)

Select a choice

Computer

Projector

Screen

Speakers

Microphone

None

7. Staff Needed

Select a choice

Support for web conferencing/video capture

Video capture/streaming (Echo 360)

Web conferencing (GoToMeeting, GoToWebinar, WebEx)

Video conferencing equipment (Polycom)

IT Staff needed during event (charges may apply)

None

Additional notes for IT Staff

8. Billing Arrangements

Send Bill To

UC Flex Number

* UC Sponsored Organizations Must Supply UCFLEX Number

Comments/Additional Dates/Special Instructions

Terms and Conditions

Select a choice

I accept the Terms and Conditions

Room Request Forms

Update a Request Form

1. Person Requesting

2. Event Information

3. Choose A Room

4. Event Open To

5. Financial Arrangements

6. IT Equipment Needed (charges may apply)

7. Staff Needed

8. Billing Arrangements

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