GCB - Event Request Form

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Email *

Primary Contact First + Last Name: *

Primary Contact Phone #: *

XXX-XXX-XXXX (No parentheses or country code)

Department or Group: *

Prospective Students, Geology Department, Anna's Wedding Party, etc

Affiliation with the GCB: *

Graduate Member (with current membership card)

Medical School Member (with current membership card)

Undergraduate Member (with current membership card)

Other:

Secondary Contact First + Last Name:

Secondary Contact Email:

Secondary Contact Phone #:

XXX-XXX-XXXX (No parentheses or country code)

Requested Event Date : *

YYYY

Estimated Event Start Time: *

Time

Estimated Event End Time: *

Time

Alternate Event Date (in case the first isn't available): *

YYYY

Estimated Minimum Attendance: *

Estimated Max Attendance: *

Event Description:

Please include details about your a group (i.e. The Entire Geology Department , Computer Science Prospective Students, John's Wedding Party, etc), What's the Occasion (Birthday Celebrations, World Cup Viewing Party, Meet & Greet, Holiday Party), any additional details that will be helpful to us. Do you want to bring food, games, etc? The more we know, the better we can arrange things.

Tab Type: *

Please note that any group tabs or group events may be subject to a 20% gratuity for the staff and/or a bar tab minimum.

Cash Bar (Everyone pays for their own drinks)

Open Bar (Host will run a tab, attendees will get identifying bracelets)

Limited Open Bar (Host will give out a limited number of tickets redeemable for any beverage at the bar)

Limited Bar (Host will give out tickets reedemable for a limited number of options)

We Don't Expect Anyone to Drink (This may not be the venue for you)

Other:

Anything Else We Should Know?

A copy of your responses will be emailed to the address you provided.

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