Event Registration Form

Event Information

Main Contact

Email

Name of Event

Primary Department/Center/Program

Select your Department/Center/Program

Date and Time

Date

Start Time

End Time

Location

Other

Facilities and A/V Requests

If you would like us to make logistical arrangements for you, please list items and quantities needed from facilities and A/V: tables, chairs, garbage cans, PA system, projector, van, etc.

Description of Event

This will be used for calendar entries and web publicity. 100-300 words preferred. Include the sponsors at the end of the message.

Publicity Plan

How will the event be publicized?

Budget Estimate

What do you plan on buying?

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