Reservation Request Form Event Name*Event Date* Date Format: MM slash DD slash YYYY Event Start Time* : HH MM AM PM Please include setup and breakdown time in your estimate.Event End Time* : HH MM AM PM UT Police Department now requires a four hour minimum charge for all after hours events held at the museum. Please include setup and breakdown time in your estimate.Group Type*UT Group, ($160 after hours charge; $10/Hour during public hours)Non-Profit Group ($350 after hours; $25/hour during public hours)Corporate/Private Group ($1,000 after hours; $50/hour during public hours)Sponsoring Organization/Department*Estimated Number of Attendees*Location(s) Requested* Lobby (appropriate for receptions of up to 150 for a standing reception) Decorative Arts Gallery (appropriate for small talks of up to 50 people) Auditorium (Smart Classroom with mic, accommodates up to 267) Front Patio (can accommodate a tent up to 20’ X 40’ – tent not provided by museum) Select as many locations as desired. More details listed in Facility Rental Policy and subject to event type.Type of Event* Reception Lecture/Presentation Tailgate Other* *Please describe event in box that pops up once you check "Other"Describe "Other" EventWill you be serving alcohol at your event?*YesNoAs a general policy, alcohol is not allowed at events with students in attendance and administration must approve serving alcohol at event. If beverage service is provided by a caterer, they must have the appropriate liquor license.Would you like a museum employee to provide a tour/overview at your event?*NoYes - $25.00Note: this will incur an additional cost of $25.Contact Name*Contact Phone*Contact Email* Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How did you hear about our venue?*UT Faculty/StaffMembers' NewsletterPersonal ReferralOtherTell us how you found out about our venue below:Tables/Chairs RequestedThe museum has four 8-foot tables ($5/table), two 6-foot tables ($5/table), one podium with mic for use in Lobby ($10), and up to 40 metal folding chairs (not occasion chairs, $1/chair) available with your rental. Select below if desired.8-Foot Tables Price: $5.00 Quantity*Please enter a number from 0 to 4.6-Foot Tables Price: $5.00 Quantity*Please enter a number from 0 to 2.Metal Folding Chairs Price: $1.00 Up to 40 availableQuantity*Please enter a number from 0 to 40.Podium with Mic in Lobby Only Price: $10.00 Quantity*Please enter a number from 0 to 1.NotesPlease include any other details of your event that we should know about.Total Cost of Additional Items $0.00 Note: This does not include hourly rate for rental.