Members of the local community who are not affiliated with the university (e.g., not students, faculty, or staff) should use this form to request use of venues on the Puget Sound campus. Customer Information Contact Person Daytime Phone Number Email Address Organization Name Non-Profit Status You must enter one of the two fields below. Tax Exempt ID Number Upload Non-Profit Certificate One file only.100 MB limit.Allowed types: gif, jpg, png, bmp, rtf, pdf, doc, docx, zip. Event Information Event Name Event Description (including intended audience) Preferred Event Date(s), Time(s), and Frequency Are your dates flexible? Yes No Please advise of any AV or media requirements: My event will (check all that apply): Serve alcohol(If so, you are required to get authorization from the Associate Dean of Students Office.) Require catering Charge admission, entry, vendor fees, or sell anything Fundraise or collect donations(If so, you must get authorization from the Dean of Students Office.) Support or campaign for a politician, political party, bill, referendum, or the like None of the above Additional comments/requirements Liability I agree to abide by all of the Puget Sound Facility Use Policies and Union Board policies. For liability purposes I agree to ensure that the guests and members of the organization will not damage, tamper with, or use any furnishings/equipment for anything besides its dedicated purpose. I further understand that if any damage does occur, I will be held liable. I understand that this form does not represent a confirmed registration, and that any misrepresentation of the nature of my event may result in additional charges or denial of facility use. Yes: Draw your signature into the box below: I understand this is a legal representation of my signature.