Equipment Request Form

* - indicates required field
Todays Date:
Building Services Staff to Set up?	Yes
Event Staff to Set up and Return?	Yes
* Event Date: * Event Name: * Sponsor:
* Event Space:
* Contact Person: * Phone: Mail Stop: * Budget Number:
Pick-up Time & Date:
Equipment to be Placed At:
Equipment	Quantity
Chairs
8ft Tables
12ftTables
Card tables
Trash Cans
Stage risers 4ft x 6ft (See sample layout sheet)
Stage Tool	One Stage Tool Provided w/Risers
Podium
Cleaning Kits
Other Information:
Building Services staff by prior arrangement, will set-up and take down your event at the service rate of $24.00 per staff hour. To initiate this, you must first contact Facilities Work Request Center via e-mail or ext.6120 and provide account information. Building Services also requires a drawing of the set-up arrangement before set-up can begin. If you wish, we will supply the above equipment that you may set-up and return at no charge. If so, all equipment must be cleaned and returned to pick up location right after the event.
Any equipment taken down, or cleaned up and returned by Building Services staff will require a return charge of $36.00./hr. There will be a $25.00 recharge if the stage tool is lost. * Read and Understood
Return Date:

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