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Request Form

Degheri Request Form

Request Form

Contact Information
Contact Name:
Mailing Address
City
State
Phone
E-mail
Name of Organization and/or Campus Department
Check all that apply:




If other, please specify:
If referred, by whom?

Event/Space Request
Date(s) Requested: 1st choice
Date(s) Requested: 2nd choice
Event Time
Event Name
Event Type: (check all that apply)






If other, please specify:
Brief Event Description:
Space Request







(DAC 112 and 113 may be used together to form a larger conference room)
Room Setup Style:
Expected Headcount:

Audio-visual/Special Equipment







For items not listed, please contact USD Media Services for equipment rental information at (619)260-4567.
Catering:

Who will be catering the event?




Alcohol:

(USD authorization must be obtained. Contact 619-260-4560)
Entertainment:

If yes, what?
I have read the Degheri Alumni Center's General Usage Policies.