Rental Booking Request Form |

Contact name
First Last
Organization
Email
Phone
Billing address
Street Address Address Line 2 City Province Postal Code
FAST account (for internal billing only)
Are you a UVic School of Music student, faculty/staff member, or alumni?
- Student
- Faculty member/staff
- Alumni
- No
Program/department
Department
Degree and graduating year
Event on-site contact
- Same as above
- Other
Name
First Last
Phone
Email

Event Details
Event title
Brief event summary
Please enter the date, room(s), & event type:
Date Room(s) Type of event Load-in time Event start time Event end time Load-out completed (end)

(MM/DD/YY)

Rental Booking Request Form

Date	Room(s)	Type of event	Load-in time	Event start time	Event end time	Load-out completed (end)