Facilities Request Form - Lehigh Carbon Community College

Organization/Group Name*

Contact Name*

Contact Email*

Contact Phone

Contact Fax

Location*

Title of Event*

Start Date of Event*

End Date of Event

Day of the week*

Access to Room (include preparation time)*

Additional Information

Estimated Attendance*

Specific Room Requested

Explain Needs

How many people need access?

Explain Need for Food Service Set-up

Submission of this form does not ensure that we will be able to accommodate your request. We will contact you to discuss your room reservation needs.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.