Facilities Request Form (outside organization) This reservation form is for off-campus organizations. The on-campus organization form is available on the myUMPI Portal, under the Forms & Docs menu. Note: Submitting this form electronically will provide an e-signature. Your Information / Contact Information / Billing InformationOrganization NameYour Name*Your Phone*Your Email* Your Mailing Address*Please include City, State, ZIPBesides yourself, is there a separateCheck any that apply Contact Person Billing Organization/Person Contact NameName of person who will attend the event and act as the contact personContact PhoneContact Email Contact Mailing Address*Please include City, State, ZipBilling OrganizationBilling NameBilling PhoneBilling Email Billing AddressPlease include City, State, ZipEvent InformationEvent Description*Description of your planned use of the facility. Facility (or facilities) requested*Name of the facility you are requesting or your general need (e.g. classroom to seat 30 people.) If you require the use of several facilities on campus, each facility should have a separate reservation form if the times vary.Day(s) and Date(s) of event*Please include day and date (i.e., Tuesday, January 10, 2017). This form may be used to reserve several days at one time provided that the use is for the same purpose and time each day. CONTINUOUS REQUESTS: Please let us know if you will meet during school breaks.Time In*Time you wish to enter the facility : HH MM AM PM Start time of event* : HH MM AM PM Time Out*Time you wish to relinquish use of the requested facility : HH MM AM PM Who may attend?Admission FeeFacility FeeAnticipated Attendance*The number of people you are expecting to attend or to participate at your event. Please be as accurate as possible.Facilities FeesClick here to view facilities fees list. (opens in new tab)Special Accommodations / Setup Instructions / Food ServicePlease check any that apply Special accommodations Audio / Visual / Technology Needs Non-students expecting to use campus computers Special setup instructions Food Service / Alcohol Beverages Special AccommodationsIf any of your attendees require special accommodation, please describe here.Audio/Visual or Technology NeedsIf technology is required, please describe here.Special setup instructionsIf you have any special setup instructions, please describe here.Computer Accounts After this form is submitted, you will be given a link to a form to request non-academic computer accounts.Food Service Once you submit this form, you will be given a link to view catering options. Contact Mary Lawrence at (207) 768-9558 to order. This iframe contains the logic required to handle Ajax powered Gravity Forms.