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Albright College Office of Student Activities
Security Event Request Form

Fields marked with * are required to submit this form.

Requestor Information

* Name of Organization requesting Security: * Name of person requesting Security:

* Account Number:

* Requestor Phone: * Requestor E-mail:
Campus Box Number:  
Secondary Contact Person Information
* Name of secondary contact: * Secondary Contact Phone:
* Secondary Contact E-mail: * Secondary Campus Box Number:

* Advisor's Name: * Advisor's e-mail:

All programs must have the authorization of the student organization's advisor.

Facility Reserved
* Date of Event: * Confirmed Location:
* Event Start Time: * Event End Time:
Event Worksheet
* Event Title:
* Expected Attendance:

* Please Describe Your Event:

* Type of Event:

meeting guest speaker presentation dance party experience event reception/banquet

other (please describe in the following space)

In order to prevent abuse of this form, please enter the red letter from the image below: * (please use upper case)

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