Massachusetts Institute of Technology
		Center for Advanced Engineering Study
		    Cambridge, Massachusetts 02139


			      ROOM 9-253
			      __________

		       RESERVATION REQUEST FORM
                       ________________________



Today's Date:___________________________________________________________

Requested by:_________________________________ Rm.#_____________________

Ext.:________________________________


			       ACTIVITY
			       ________


Class:________________Conference:________________ Video:________________


Date(s) you want to reserve:____________________________________________

________________________________________________________________________

________________________________________________________________________


Time(s) you want to reserve:____________________________________________

________________________________________________________________________

________________________________________________________________________


Remarks:________________________________________________________________

________________________________________________________________________



Please return this form to:
Beverly Foxx, Rm. 9-223