ClubSpaceBookingForm_000

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CLUB’S SPACE BOOKING FORM Club: ________________________________________________________________________ Contact Person’s Information

Requested Room

Name: ________________________________

Building and Room #: ___________________

Title: _________________________________

Date: _____________________________________

Phone: _______________________________

Time:_____________________________________

E‐mail: _______________________________

Occupancy:________________________

Signature: ____________________________ Reason/Use of room: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Is it a ticket event? /If yes, indicate the price for a ticket, please __________________________________________________________________________________ Event’s Budget __________________________________________________________________________________ If the event involves third parties or sponsors, please identify __________________________________________________________________________________ Catering requested? __________________________________________________________________________________ __________________________________________________________________________________ Tables or equipment you may need from the BCITSA _______________________________________ The SA is your primary contact with BCIT regarding all requests to utilize academic and corporate spaces. The SA will not be responsible to find alternative spaces should the requested space(s) not be available.

***PLEASE NOTE: WE REQUIRE A MINIMUM OF 48 HOUR NOTICE PRIOR TO THE REQUESTED DATE*** For Office Use Only: Signature of designated BCIT SA staff _________________________________________________________ Space Booked: Yes � No: � Date of Form Received: _____________________________________________

3700 Willingdon Avenue, Burnaby BC, V5G 3H2 | Bus: 604.432.8600 Fax: 604.434.3809 | www.bcitsa.ca


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