Powell Rotunda |
Powell South Courtyard |
Event Date & Time (include prep time) |
______________________________________________ |
Purpose of Event |
______________________________________________ |
Est. No. of Guests |
__________ |
Contact Person |
______________________________________________ |
Department |
______________________________________________ |
Address |
______________________________________________ |
Phone # |
_______________________ |
_______________________ |
|
Fax |
_______________________ |
| Dept Code | Req No | L O C |
RCHG | Account | C C |
Fund | Project | S U B |
Object | Source |
____ |
____ |
___ |
____ |
___________ |
___ |
___________ |
____ |
___ |
____ |
___________ |
Authorized Signature |
___________________________________ |
Position Title |
___________________________________ |
Phone # |
___________________________________ |
Applicant will be responsible for all vendor and/or service charges related to the event, including custodial preparation, clean-up and if required, security. Any property damage or loss will remain the obligation of the department until paid or recharged.
An approved event is considered confirmed when this is faxed or sent with appropriate written signature to:
|
UCLA College Library Administration |
224
Powell Building 145004 (campus mail) or 224 Powell Building Box 951450 Los Angeles, CA 90095-1450 |
Last Updated: June 26, 2006