| Contact/Applicant |
| Name: | |
| Phone: | |
| E-mail: | |
| |
| Campus Organization Information |
| Group/Club/Dept: | |
| Account no.: | |
| |
| Off-Campus Organization Information |
| Organization Name: | |
| Address: | |
| City: | |
| State: | | Zip: | |
| Certificate of insurance is required. |
| |
| Event Information |
| Event Title: | |
| Date of Event: | |
| |
| Setup Time: | |
| Time of Event: | |
| End Time: | |
| Allow yourself time for setup and cleanup. |
| |
| Location Requested: | |
| 2nd Choice Location: | |
| |
| Planned Attendance: | |
| Will food be served? | Yes | No |
| Will alcohol be served? | Yes | No |
| You must contact the catering manager for menu options. |