Reservation Form Pour voir les formulaires de l’Université de Moncton, veuillez activer la fonction Javascript. Reservation Form Applicant The field is entered correctly. Please enter your last name. The field is entered correctly. Please enter your first name. The field is entered correctly. Please enter the group name. The field is entered correctly. Please enter your phone number in the following format (506) 999-9999. The field is entered correctly. Please enter your e-mail. Please enter your cellular number in the following format (506) 999-9999. The field is entered correctly. Please enter the name of the person in charge. Activity Conference Meeting Other The field is entered correctly. Please enter your choice. Please enter another activity Number and description of participants * Please enter the number and description of participants Detailed description of the activity1 * Please enter a detailed description of the activity Will the Medias be present at the event? * Yes No The field is entered correctly. Please enter your choice. Do you plan to make some request with the university community (solicitation)? * Yes No The field is entered correctly. Please enter your choice. Do you plan to ask for an admission fee during your activity? * Yes No The field is entered correctly. Please enter your choice. Will alcohol beverages be served at your activity? * Yes No The field is entered correctly. Please enter your choice. Do you plan to do a smudging ceremony? (This activity must be notified 7 days in advance) * Yes No The field is entered correctly. Please enter your choice. Do you plan to sell material, equipment or services during your activity? * Yes No The field is entered correctly. Please enter your choice. If yes, please describe Please enter a detailed description of what material, equipment or services you plan to sell during your activity. Information collected for the room rental contract The field is entered correctly. Please enter the contract’s signatory. The field is entered correctly. Please enter your title. Billing information The field is entered correctly. Please enter the billing last name. The field is entered correctly. Please enter the billing first namem. The field is entered correctly. Please enter the billing e-mail. The field is entered correctly. Please enter the billing group name. The field is entered correctly. Please enter the complete billing address. The field is entered correctly. Please enter the billing phone number in the following format (506) 999-9999. The field is entered correctly. Please enter the billing extension. The field is entered correctly. Please enter the billing fax number in the following format (506) 999-9999. Room rental dates and hours Date (AAAA-MM-JJ) Hours (ex. 08:00 à 18:30) Please enter at least one choice. Please enter at least one choice. Other information Please specify. Room rental information The field is entered correctly. Please enter the number of rooms to reserve. Room style * Classroom Will it be with desks and chairs Fixed Movable Theater Room (no desk) Banquet Room Meeting Room or Conference Room Information technology needs2 WIFI/Internet access Projector/screen Sound system Podium and microphone For any other needs, please contact us Please specify. Liability insurance certificate We will provide our own liability insurance certificate. Being a government or municipality department, we are auto-insured." Optionnal services3 Catering service. You have to use the University food service for food and beverages. Parking permits Long distance calls Printing, Photocopying and Fax services Other, please specify Please specify. The security code field is required The security code is incorrect Submit NB. This form will be submitted for approbation before a room could be assigned and reserved. IMPORTANT! Note: In case of cancellation or modification, please send an email to: entraux@umoncton.ca or by telephone: (506) 858-4015. Activities which consist of selling of material, equipment or services (including entrance fees) for profit-seeking must be approved by higher administration and/or services. Expenses can apply for certain equipment. Furthermore, the DGT (IT Department) requires 5 working days to be able to execute the wanted services. If this term is not respected, additional expenses could be imputed. Additional expenses apply for the optional services.