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Service Request Form
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SERVICE REQUEST FORM Use this form to request our services for events. You must include an account number for payment. When you've completed the form, click on the submit button. A copy of your request will be routed to the proper person. Please provide an Account Number Please provide an Email Address * Required Field Requestor Name: *Email Address: Department/Company: Phone Number: Address: Name of Event: Day of Event: Time of Event: From   To Location of Event: Coverage by (Time): Purpose of Event: Estimated Attendance: Sponsor of Event: Promoter (if any): Contact Person: Contact Number: Performers: Admission Charge: Yes No Alcohol: Approved Not Approved *Account Number: Request: Building Security Officers: 0 1 2 3 4 5 6 7 8 9 Request: Campus Police: 0 1 2 3 4 5 6 7 8 9 Request: Supervisors: 0 1 2 3 4 5 6 7 8 9   Additional Comments: