Owen J Wordsworth Booking Form - Internal Use Only

Personal/Organisational Details
* Denotes mandatory field
* Which campus are you on? GP KG CA Caboolture
* Your Organisational Unit?
* Name:	* Email:

* Phone:	Mobile:


Booking Details
* Date Required:	* Day:

* Time Room Opened: * Time Finishing with Room
Anticipated Attendance Figure:
Reason for use:


Is your function being catered? Yes No
If Yes, please provide caterers name:

Do you intend serving alcohol? Yes No
* If Yes see QUT Alcohol Policy:

Do you require AV equipment: Yes No If Yes, contact AV Services x 1780 if you have any queries.

Please note that this is an application only. Bookings are not confirmed until an application is endorsed by Campus Services-Facilities
Any queries should be directed to timetabling@qut.edu.au