NOTE:

·       Room availability should be cleared through the Alumni-Foundation office before submitting this form.

·       Arrangements for Food Service, and Audio-Visual equipment must be made with the appropriate departments).

·       All arrangements should be made and this form completed at least fourteen (14) days prior to your event.

·       Your activity will not be placed on the University Calendar until the event has been approved by all appropriate University officials.

·       To submit a paper request, print this form and return completed  form to the Alumni-Foundation Office, Box 3104. 

Estimated Attendance:

Head Table? YES   NO       If yes, how many seats?

Podium?       YES   NO       If, yes, WITH MICROPHONE   or WITHOUT MICROPHONE

Audio-Visual Equipment?

YES    NO   

Click here to reserve AV equipment or contact OIT at 662.846.4760

Food Services?

YES    NO   

Contact the Catering Manager at 662.846.4416 to make arrangements.

I agree to be personally responsible and liable for the welfare and safety of equipment and facilities used in conjunction with this request. Furthermore, I agree to provide the manpower necessary and will reimburse Delta State University for labor costs or damage costs as a result of this event.

To accept these terms, type your full name and initials in the spaces indicated below.
(initials)    (full name)