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    SCCC West Site
    33057 Hwy 160
    Mancos, CO. 81328

    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:*




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


              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.