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Event Equipment Rental Reservation

Requestor Information - Paid with a University Purchase Order:

1. Name: Department:

2. Address:
Building: Room:

3. E-Mail: Phone:

4. Charge to University Purchase Order: *
* All requests must be submitted with a valid University purchase order number in order to be processed.

Event Information:

5. Event Location:

6. Special Instructions:

7. Event Description:

8. I'm not sure what equipment I will need, please contact me.

9. If you know what equipment you will need, list items here:

10. Equipment to be delivered to and returned from event site by:
Self Facilities Management (Event Rentals)

11. Setup and break down of equipment at event site by:
Self Facilities Management (Event Rentals)

12. Date Needed - Date: Time: AM PM

13. Return Date - Date: Time: AM PM

14. Event Contact (if different from above):
Name: Phone:

15. E-mail: