MMLRC BOA Request Form

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Disclaimer:
This form is for Butler of Andover only. Client requests should be booked 2 DAYS IN ADVANCE. Requests for equipment less than 2 days in advance should be booked via telephone at (316) 322-3267

All requests are filled on a "first come, first serve" basis. As such, requests submitted through this system are subject to denial.

Please fill in the information below to submit your service request to MMLRC.
If you have any questions, please e-mail Norm Cornell.

Name:
Required
E-mail:
Required
Phone Number
Required
Building:
Required
Room Number: BOA ONLY
Required
 
Set Up Time:
Please use the format: MM/DD/YYYY Example: 09/09/2003
Set Up Time:
Event Start Date:
Required

Please use the format: MM/DD/YYYY Example: 09/09/2003
Start Time:
Required
End Date:
Required

Please use the format: MM/DD/YYYY Example: 09/09/2003
End Time:
Required
Equipment Needed:
Required
Special Instructions:
Example: setup instructions, re-occurring events, etc.

Requestor Initials: (For MMLRC use only)