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 #)
Preferred Parking Lot/Garage
Please note:
This does not guarantee a preferred lot/location
     Number of participants attending
     Number of attendees requiring
     disabled parking
     List the Names and Number of VIPs requiring guest permits
     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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Florida Atlantic University
 Last Modified 1/27/14