Contact Name:
Department:
Email:
Phone:

Term: Fall 2009 Winter 2010 Spring 2010
Meeting Description:
Fee Charged: Yes No Marking Yes indicates that money will be collected in the form of admission fees, donations, or items being sold at or for the event. Marking No indicates that no money will change hands in relation to the event.
Expected Number of People:

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Start Date:
End Date:
Days (e.g. MTWRFSU):

Start Time: (include set up time)
End Time: (include tear down time)

Location Preferences (Optional)
   First Choice:
   Second Choice:
   Third Choice:

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Additional Information: (Please specify additional information here.)