FACILITY RENTAL REQUEST
Please use this form when inquiring about future rentals – 8 days or more from today’s date. If you would like to inquire about a rental within the next seven (7) days – Please call the UW Health Customer Experience team at 815-966-8770 for rental information and availability.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Type of Event
*
Desired Date
*
-
Month
-
Day
Year
Date
Desired Time
*
Hour Minutes
AM
PM
AM/PM Option
Number of Guest
*
Notes:
Submit
Should be Empty: