STEPS Room Cancellation Request

PLEASE NOTE:

We require requests to be submitted one week in advance. Requests are filled on a first come, first serve basis with curriculum required classes and examinations taking priority. Submission of this form does not guarantee reservation. A confirmation email, possibly requesting additional information, will be sent to you. Class and debriefing rooms are for use with simulation only.

( Required Fields are denoted by the * symbol )

* Contact Person:
* Email address:
* Phone:
Beeper or alternate phone#:
* Department:
Please check what type of reservation request you prefer:

Cancellation: (Please complete the following for a cancellation)
Cancellation Event Name:
Cancellation Room Reserved:
Date(s): Please use comment section for multiple dates
Time(s): Beginning/Ending

Change: (Please complete the following to change your cancellation)
Original Event Name :	New Event Name: (only if applicable)
Original Date:	New Date:
Original Time:	New Time:
Original Room:	New Room:

*While all attempts are made to book requested rooms, if the room is not available, a comparable room will be booked. Check the confirmation sheet or e-mail carefully to verify your reservation. It is the responsibility of the requestor to know which room is confirmed.

Additional comments or information: