VIU Cowichan Campus Totems

Booking and Room Rentals

Room Rental Request

Organization Name *

Type of Organization *

Contact Name *

Address 1 *

Address 2

City *

Province *

Postal Code *

Phone Number *

Email Address *

Name of Event *

Description of Event

Date of event *

Month

Day

Year

Start time for event *

Hour

:

Minute

am

pm

End Date of event *

Month

Day

Year

End time for event *

Month

Day

Year

Estimated end time for event *

Hour

:

Minute

am

pm

Estimated Number of People

Room Type *

Technology Requirements *

Yes

No

Additional Comments and Questions