EVENT INFORMATION


Event Name

Event Date

Event Location (Building)

Event ID #

PARKING INFORMATION


Lot Number

Number of Spaces Needed

Start Time

End Time

SPECIAL REQUEST

PARKING SERVICES APPROVAL REQUIRED *Will require lot attendee, complete billing information

Lot #

Reserve Meters (cover) Yes       No

# of Meters to cover

Reserve Lot (barricade) Yes       No

ADDITIONAL INFORMATION

CONTACT INFORMATION

(Required fields are marked with asterisk *)

Department Name*

Contact Person*

CMU Dept. address*  

Phones #1

#2


Email address*

Account # CMU     Other

BILLING INFORMATION

Signature                     Date