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Sponsoring Group
Is the Sponsoring Group a non-profit organization?
Yes
No
Proof of the sponsoring group's non-profit status will be required at the time of contract. Please look for a follow-up email with further information.
Is your group affiliated with PNW?
Yes
No
If yes, explain how.
Are any fees charged for participation in the proposed event?
Yes
No
How will this activity benefit the campus community?
Who referred you to PNW?
Contact Person
First and Last Name
Street Address
City
State
Zip Code
Phone
Email
Event Details
Date(s) Needed
Start Time
End Time
Number of Anticipated Attendees
Will you need audiovisual services?
Will you need food services?
Please provide a quick description of the event.
Space Requirements
The signature below indicates the willingness of the members involved to comply with all University policies and procedures and to take responsibility for all damages and charges resulting from the above event. Please be advised that all University property and facilities are tobacco and alcohol free
Signature
Sign Here
clear
Date Signed
NOTE: The University reserves the right to cancel or alter this reservation if it conflicts with general policy or if the requested premises become unavailable in which case other comparable facilities will be sought.
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