McBeth Alumni Center Conference Room

Messiah College alumni may complete this form to request use of the conference room.

First Name:
Last Name:
ID Number: (if known)
Address:
City:	State:
Zip:
Country:
Phone Number:
E-mail:
Date Requested:
Start Time:
End Time:
Set Up Time:
Tear Down Time:
Will your event include food?:	Yes No
Event name:
Number of people attending:
Special Requests:
Keep in mind: All food is to be requested through Messiah College Dining Services Furniture is set up in a conference style that seats 16 No furniture is to be removed from the room (you may request to have it removed for you in the special requests field)