ColorLogoNoBG
Generated with MOOJ Proforms Version 1.5
*Required information.
Contact Info
Please choose the club your submitting this for: * Please choose the club your submitting this for.
Requestors Name: * Please enter the name of the individual requesting this service from SA.
What position do you hold within this club? * Please enter the position that you hold within this club.
Please enter your UB E-Mail Address * Please enter the email address of the person requesting this service.
Please enter your phone number * Please enter the phone number of the person requesting this service.
Event Information

If there is no event associated with this service request, please skip to the next section.

Is there an event associated with this request? * Please fill in this section of the form if your request for this service is associated with an event that your club is running.
Event Name Please enter the name of the event
Event Location Please enter the location of your event
Event Start Date Please select the start date for the event.
Event Start Time Please enter the time your event begins.
Event End Date Please select the end date for the event.
Event End Time Please enter the time your event ends.
Venue Address Please enter the address of the event.
Venue Representative Please enter the name of the primary contact at this venue.
Venue Representative Phone Number Please enter the phone number of the primary venue representative.
What time can you access this venue? Please enter the time you can gain access to your venue.
What time must you be out of this venue? Please enter the time you must be out of the venue.
Website Ad Info
Where would you like this advertised? Select where you would like to have this event posted.
Upload your 11x17 Upload your 11x17 for display on our events page.
Upload your 1600x900 image Upload your 1600px X 900px for display on our office TV.