Event Request Form

Please provide as much information as possible for superior coordination of your event. This form must be submitted at least ten (10) business days before the event date.

Requester Information Contact Name (Required) Contact Phone Number (Required) Email Address (Required)

Event Information Department Name Event Name Event Start Date (Required) Format: mm/dd/yyyy Event Start Time (Required) Format: hh:mm am/pm Event End Date (Required) Format: mm/dd/yyyy Event End Time (Required) Format: hh:mm am/pm Campus Event Location (Brownsville Buildings) Event Location (Edinburg Buildings) Event Location (Harlingen Buildings) Format: Enter name of the Harlingen building. Parking Lot (Desired) Estimated Number of Vehicles Estimated Number of Buses (brought to campus) Attach File (preferred layout)

Billing Information Project Name Project Account Number Do you require permits or reservation of spaces in a parking lot?