Disclaimer: This form is for Butler of El Dorado only. Client requests should be booked 2 DAYS IN ADVANCE. Requests for equipment less than 2 days in advance should be booked via telephone with Dianne Travnicek at (316) 322-3119.

All requests are filled on a "first come, first serve" basis. As such, requests submitted through this system are subject to denial.

Please fill in the information below to submit your service request to MMLRC.
If you have any questions, please e-mail Kyle George.

Name:
Required
E-mail:
Required
Location:
Required		 BOE ONLY
Example: building, room		    
Start Date:
Required
Please use the format: MM/DD/YYYY Example: 09/09/2003
Start Time:
Required
End Date:
Required		 Please use the format: MM/DD/YYYY Example: 09/09/2003
End Time:
Required
Equipment Needed:
Required
Special Instructions:
Example: setup instructions, re-occurring events, etc.
Requestor Initials: (For MMLRC use only)