Student Center Facilities Fundraising and Information Table Request Form

Name:     Date: 
Campus Address:    Sender(Email): 
Phone #: 
Student Club/Organization: 
Use of table is for:Sale* Fundraising Information     *Sale is for:Not ApplicableOrganizationStudent Vendor

Sales/Fundraising: Check the student handbook for further information.

1. Any sale involving food must be approved by the Director of Dining Services x83223.
2. Student vendors must have proof of insurance. A fifteen dollar tablespace fee per day must be paid in advance.
3. All requests for auctions and raffles must have a list submitted of all item before approval will be considered.

Provide below a detailed description of product, service, or information being distributed: (include selling price for any product or service; all printed items being sold requires a sample submitted with this form.)
Designate charity/organization: 
Date(s) requested for a table (Monday - Friday): 
Start Time:     End time: 
Please indicate location: 
University Center Ulrich Student Center Lamberton UC and Ulrich Lamberton, UC, and Ulrich

Available to University-recognized groups is the option to rent a GoldPLUS Card Reader.
The person requesting table space is responsible for informing everyone, stationed at the table, of the table use regulations that are attached to your confirmation.