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    SCCC West Site
    33057 Hwy 160
    Mancos, CO. 81328
    970-564-6214

    Event/Facility Request Form

    Thank you for selecting SCCC-West for your request. Please be aware that submitting this form does not guarantee your space is reserved.
    Please allow at least 3 business days for your actual reservation confirmation. This will be via telephone or email.

              * Indicates a Required Field

              I am a:*

                      

              Name:*  
      

              Department/Sponsor/Organization:*
     

              Email Address:* (Please enter full email address, even for campus addresses)
      

              Phone:
     

              Name/Title of Event:
     

              Event Day Contact Name:        Event Day Contact Cell:   
      

              Date of Event:*  
      

              Additional Dates for Set Up:*  
      

              Time Event Begins:*            Time Event Ends:*  
      

              Number of Attendees:*  
      

              Space/Room Request:*  
      

              Alternate Room Request:  
      

              Is this a basic SCCC/PCC Departmental Meeting Request?

                      

              I will need Catering, AV Equipment, Other.