EmailMe Form - Preliminary Event Request Form

Name of your event *
Even if you do not have a final event title, give us your working title, please.
Date of proposed event *
MM / DD / YYYY
Please check with UCB office to make sure the facility is available. Pencil in your proposed date on the wall calendar. Thanks!
Start
Start of setup time
End
Best guess for end of cleanup
UCB space you are requesting
Where will your event take place? You may select multiple locations using CTRL key on Windows or CMD key on Mac
Anticipated attendance
How many people do you think will attend?
Primary contact *
First Last
Enter the name of event contact
Primary contact's email address
Primary contact's preferred phone number *
### - ### - ####

Confirm phone, please.
### - ### - ####
Second contact
First Last
Enter the name of another event contact
Second contact's email address
Second contact's preferred phone number *
### - ### - ####

Confirm that phone, please.
### - ### - ####
Basic description of the proposed event
Tell us as much as you are able to do at this time.
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