UTMB Special Use Facilities Reservation Request Form

UTMB Office of the President - Special Use Facilities

UTMB Special Use Facilities

This form provides you with an easy way to request a reservation at one of our facilities. Normally we will confirm your request within 24 hours, based on availability of rooms and/or dates.

Please provide us with information about your upcoming event: Use of these facilities is limited exclusively to internal users for UTMB related activities (activities that are in furtherance of UTMB's mission or otherwise related to the educational, cultural or recreational programs of UTMB) or external users for activities exclusively related or dedicated to the benefit of UTMB (i.e. President's Cabinet, Development Board, Alumni Association, etc
Event date: Guest arrival date: Guest departure date:
Event Title/Guest Name:
For guest reservations only, please provide an email address for the guest:
Guest email address:
If this is a recurring event, please indicate additional dates needed:
Start Time: (not required for guest reservations)	A.M. P.M.
End Time:	A.M. P.M.
UTMB Room Location:
UTMB Room Location:
UTMB Room Location:
Number of attendees (if known):
Contact and Billing Information:
Dept./Organization Name:
FRS Number:
	The account number used to confirm reservations will not be charged unless the user fails to cancel their reservation within 3 working days prior to the event.
Requestor's Name
Email Address:
Telephone:
Do not enter information here:

Additional Comments:	By reserving this facility you are agreeing to pay all expenses incurred related to the setup of this facility (setup cost is provided by Catering and Special Events). If you agree, please select the ENTER button below, a reservation confirmation will be forwarded to you within 24 hours.


AGREEMENT:

Please provide us with information about your upcoming event:

Contact and Billing Information: