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*Required information.
Contact Info
Please choose the club your submitting this for: * Please choose the club your submitting this for.
Requestors Name: * Please enter the name of the individual requesting this service from SA.
What position do you hold within this club? * Please enter the position that you hold within this club.
Please enter your UB E-Mail Address * Please enter the email address of the person requesting this service.
Please enter your phone number * Please enter the phone number of the person requesting this service.
Event Information

If there is no event associated with this service request, please skip to the next section.

Is there an event associated with this request? * Please fill in this section of the form if your request for this service is associated with an event that your club is running.
Event Name Please enter the name of the event
Event Location Please enter the location of your event
Event Start Date Please select the start date for the event.
Event Start Time Please enter the time your event begins.
Event End Date Please select the end date for the event.
Event End Time Please enter the time your event ends.
Venue Address Please enter the address of the event.
Venue Representative Please enter the name of the primary contact at this venue.
Venue Representative Phone Number Please enter the phone number of the primary venue representative.
What time can you access this venue? Please enter the time you can gain access to your venue.
What time must you be out of this venue? Please enter the time you must be out of the venue.
Production questions
What equipment are you seeking. What type of equipment are you looking to reserve...
If a stage, what size: What size stage will you need? The stage consists of 12 pieces of 4'x4' staging that can be configured in any variety of layouts based upon those numbers.
Do you need any of the following items?
If you need Mic's, how many?
Will your event include live performances? * Will you be using a DJ, Band, Host, etc.
Attach your event flyer. * Please attach your event flyer
How many people do you expect to attend your event?