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Event Registration Form

Department Name Or Organization
Internal or External Organization?

  Internal
  External

Point of Contact
Name
Email:
Phone:
Mailing Address
Campus Bldg Number:
Campus Room Number:
City
State
Zip
# of Cars Expected
# of Buses Expected
Accounts Payable Information
(Person responsible for paying the invoices for the organization or department)

Contact Name
Phone Number
Email Address
Event Information:
Event Title:
Event Dates
Event Times (Start and Finish) to
Location of Event
(Building and Room #)

Prefred Parking Lot/Garage
Please note:
This does not guranetee a preferred lot/location

Number of participants attending

Number of attendees requiring
disabled parking

List the Names of VIPs attending
List of attendees to be provided?
If so paste into text box:

Will attendees be paying
for their parking?

  Yes
  No

If not, how will the Dept./Event     
Organizer handle payments?

   Check
 Credit Card
  Charge to budget

Banner Department name


Banner Fund/ Index Code for the requesting Department
(FAU Internal Departments Only)


Please encourage your guests to use alternatives to driving alone.

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© Copyright 2012. Florida Atlantic University.
Last Modified 12/2/11

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FAU Campuses: Boca Raton/Davie/Dania Beach/Fort Lauderdale/Jupiter/Treasure Coast

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