Media Center Room Reservation

Complete all required fields on this form (required fields are marked with a red dot).
You will receive an email copy of this form submission upon pressing submit. Pressing submit and receipt of the email copy does not guarantee room availability and is not a confirmation of your reservation. Save the email for your reference.
The Media Center coordinator will personally review your form submission, determine room availability and contact you with further questions or email you a reservation confirmation.
Your reservation is not final until you receive a reservation confirmation via email from reevereserve@uwosh.edu (PDF format) confirming your room reservation.

Contact Information
I am a:*
Name*
First Last
Email*
Phone
Reservation Details
Event Type*
Estimated Attendance*
I would like to reserve time in the following room.*
Date of Reservation
I would like to reserve the following date
MM slash DD slash YYYY
Start Time*

: Hours

Minutes

AM/PM
End Time*

: Hours

Minutes

AM/PM
Is access to the room needed before the event start time?*
- Yes
- No
Does this Event Repeat?*
- Yes
- No
AV Equipment Needed*
- Select All
- Computer(s)
- Data/Video Projector or TV Monitor
- Conference Phone and Phone Line
Question or Comment

Contact Information