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Reservation Request: Off Campus Organization or Person

This form is to be used by off-campus organizations or persons requesting event space or services associated with the Russell Union and Williams Center.

A deposit of one-half the rental fee and a meeting with a reservation assistant to discuss your event is required no later then 3 weeks prior to the event.

Please fill out the form completely.

Title of Event/Service (required)

Name of Person Making Request (required)

Your Phone Number (required)

Your Email Address (required)

Mailing Address: Street or PO Box (required)

City, State (required)

Zip Code (required)

Name of business or organization you represent (if any):

Is this a non-profit organization?    
Non-profit documentation will be required.

Date of Event/Service (required)

Start Time of Event/Service (required)

Is additional setup time required? (required)
If Yes, how much time before your start time?

End Time of Event/Service (required)

Is additional take down time required? (required)
If Yes, how much time after your end time?

Location Desired (required)

Expected Number of Attendees (required):  

Type of Set-up (required)

Type of Audio/Visual Support (required)

Will food or beverage be served? (required):  
If yes, who is providing?

Will alcohol be served? (required):  
If yes, will require a separate permit and University approval.

Is there an admission fee charged for the event/service? (required): 

Detailed Event Description (required)


On-Site Contact Name (required)

On-Site Person Phone Number (required)

Last updated: 9/5/2013

Russell Union
85 Georgia Ave. Statesboro, GA 30458
• (912) 478-0441 • FAX (912) 478-7359 • union@georgiasouthern.edu
Mailing Address: PO Box 8066 Statesboro, GA 30460

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