Form Inquiry Form Name* First Last Department/Organization* Phone*Email* Address Affiliation of Person Inquiring*UConn Faculty/Staff memberOtherOther I am inquiring about*Hosting a conference/event at UConnReserving a roomRegistration services/request for demoUECS services for a conference/eventOtherThe room I am requesting is Rome Commons Ballroom North Reading Room, Wilbur Cross Dodd Center UConn Bookstore Preferred date(s) Preferred time(s) I am anticipating the following needsConference/event managementHousingDiningCateringRegistration servicesAudio visual/sound systemPlease provide a draft of your agenda.*Please provide some general information regarding your request and/or a brief description of your programHow did you hear about us?* CaptchaPhoneThis field is for validation purposes and should be left unchanged.