Lubin House Overnight Reservation Request

Guest Information
Email (Required)
Name (Required) Name (Required) First Last
SU ID Number (Required)
SU Department (Required)
Contact Person Email

Enter an email address for the point of contact, if different from the guest.
Phone Phone - ### - ### ####
Full Time Permanent Employee

Full Time Permanent Employee Yes No
Reservation Information
Arrival Date (Required) Arrival Date (Required) / MM / DD YYYY
Departure Date (Required) Departure Date (Required) / MM / DD YYYY
Business Purpose (Required)
Number of Beds Needed (Required)
Names of Additional Guests (Required)

If you do not have any guests, enter "None"
Additional Notes
Billing Information
Chartstring (Required)

Format: xx-xxxxx-xxxxx-xxxxxx(-xxxxxx)
Online Journal Entry Approver (Required) Online Journal Entry Approver (Required) First Last
Approver Email (Required)