Room Request Form


Complete and submit this form to request a room for your event. This request will be forwarded to TLT-Media who will contact you for further information. This is just a request form. It is not a confirmed reservation. A agent from TLT-Media will contact you within 24 hours on the status of your request.

To check whether or not a room is available at a particular time, check WebReports at:
https://kumc-sec1.kumc.edu/ScheduALLInteractiveWebReports/Login.aspx

Your Contact Information
First Name *
Last Name *
Email *
(Please be sure to include both your email and phone to facilitate a quick response from TLT.)
Phone*
Department*
Event Information
Date
Start and End Time
Name of Event
Number of Participants/Students
1st Room Choice
2nd Room Choice
3rd Room Choice
Additional Notes:
(Computer, Projector, AV Needs and Technical Assistance Requests.)

* = ITV/Video Conference Only Rooms

Last modified: Nov 21, 2014
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