SPECIAL EVENTS OFFICE (2013-14)

This form is for SPECIAL EVENTS DEPARTMENT ONLY! Choose a different form if you do not work @ Special Events.
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1. Please select your name from the list:
2. Enter your extension or telephone number.
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3. Enter the event name or meeting.
4. Enter the USI account# and fiscal agent's name.
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5. Please enter room number(s) for delivery and separate if multiple rooms.
6. Type event date with mm/dd/yyyy format & time needed. You may have a total of 5 dates on this form.
MM DD YYYY HH MMAM/PM
Date # 1
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Date # 2
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Date # 3
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Date # 4
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Date # 5
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7. Enter ENDING time for each of those events noted above when equipment may be picked up.
 HH MMAM/PM
Date # 1 
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Date # 2 
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Date # 3 
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Date # 4 
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Date # 5 
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8. Select day(s) of the week when equipment is needed.
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9. Select equipment from the list below. If you need more than one, please specify.
10. Need equipment for Mitchell, Kleymeyer or Forums? Select options below. If not, skip to #11.
11. Additional equipment needs? Please specify here.
12. Please indicate below if advance technical support is needed. Please include fiscal agent's name in OTHER.
PRINT A COPY OF THIS FORM and review before finalizing your order.
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