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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 (please check at least one ):

meeting guest speaker presentation dance party experience event reception/banquet

other (please describe in the following space)

In order to prevent spambots from abusing this form, please enter the fourth letter in the College logo
at the top left of this page: *
(please use lower case)

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