Room Reservation Form

Room Reservation Request

After submitting this request, you will receive written confirmation of your reservation. A SIGNED copy of the confirmation must be returned to Medical Library Director's Office, Becker Medical Library, Box 8132 or faxed to 747-4416.

NOTE: Failure to cancel your Room Reservation within 24 hours of the scheduled reservation date will result in a charge of $25.00

If you have any questions about this form or any services, please call 314-362-2774 Mon-Fri between 8 and 4:30.

Bulleted fields below are required. You must enter the time in the format hh:mm AM/PM. Any other format will result in an error.

Date

mm/dd/yy

Starting Time

hh:mm AM/PM

Ending Time

hh:mm AM/PM

Requestor's Name:
E-mail Address:
Department:
Box #:
Phone #:
Bill To Name:
FIS Department #:

Room will be used for:

Name of person who will be at the location at the time service is to be provided. This may be the person giving a lecture, your representative or a designated coordinator.

How many participants do you anticipate?

Is Classroom to be used in conjunction with any non-Washington University group?

Yes No

If yes, please specify the group:

Are participants being charged for attending this event?

Yes No

Comments or other information:

PLEASE NOTE LIBRARY AFTER HOURS POLICY: The Becker Medical Library is open to the general public Monday – Friday - 7:30 a.m. – 6:00 p.m. Entry or reentry after 6:00p.m.and on weekends is limited to those bearing a valid WU, BJC or STLCOP ID badge or Becker Library Membership Card.
If your event is held after these regular business hours and you will have guests arriving after these hours you will need to have someone stationed at the main library door to facilitate their entrance (or re-entry) to the Medical Library. In order to make all of your guests feel welcome, please make the arrangements to accommodate any who do not have a valid WU, BJC or STLCOP ID badge prior to the date of your event. The Library evening/weekend staff will not be available to manage their entry/reentry to the Library.