Request Form

Alumni Events

Giving Back

Future Alumni

Contact Information

Contact Name	Today's Date

Mailing Address

City	State	Zip Code

Phone	Email

Name of Organization and/or Campus Department

Check all that apply:
USD faculty/staff event USD student organization Other		I am a USD alumnus Business/organization I was 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)
Meeting Presentation Other		Luncheon Reception Training/Workshop Breakfast

Brief Event Description:

Space Request
Degheri Board Room Living Room Courtyard DAC Lobby		DAC 112 DAC 113 Back Patio Front Patio
(DAC 112 and 113 may be used together to form a larger conference room)

Room set-up style:

Expected Headcount:

Audio-visual/Special Equipment

None Overhead Projector Piano Podium		VCR/DVD Player Portable White Board LCD Projector Easel(s), how many?
For items not listed, please contact USD Media Services for equipment rental information at (619)260-4567.

Catering: Yes No

Who will be catering the event?
USD Banquets & Catering La Paloma		USD Dining Services Bert’s Bistro Other

Alcohol: Yes No (USD authorization must be obtained. Contact 619-260-4560)

Entertainment: Yes No If yes, what?



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University of San Diego Alumni Association