Special Events Form

Contact Information

Name of Requester (Person or Organization):


Name of Contact Person:


Phone Number:
Email:


Group or Organization:


Event Information

Event Name:


Event Location:


Time of Event:
From:space- To:
-

Times for Officer(s)Attendance:
From:space- To:
-

Event Date:


Security Issues Anticipated:


Anticipated Number of Attendees:


Is there Alcohol:
Yes: No:

List of Specific Duties for the Constables:


Number of Constables Requested:

Invoice Information
University Account Number:


Billing Address: