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Coppin State University

FOR EXTERNAL REQUESTS:
Your request will route to Events & Conference Services (ECS) once you submit this form.

Please allow 48 - 72 hours for a response.

All food and beverage served or distributed on campus must be bought and serviced through Coppin Dining Services. All clients holding Non-University events at CSU must hold general liability insurance, for a minimum of $1,000,000.

FOR INTERNAL REQUESTS:
Your request will route to Events & Conference Services (ECS) once you submit this form.

Please note: a submitted request does not constitute an approval to use space. Please wait for event confirmation before moving forward with your event plans. Submission of this form at least 14 days prior to the event is suggested.

Once received, ECS will process your request and respond with approval or denial. Additional cost associated with event will be charged to the department the Monday prior to the event date.

Contact Information

*This request is on behalf of an organization:

Organization/Department Name:

*First Name:

*Last Name:

*Address:

*City:

*State/Province:

*Zip Code/Postal Code:

*Country:

*PrimaryPhone:

*Email:

*Best time to contact:

*Preferred contact method:

*How did you hear about us:

Additional Contact Information

*First Name:

*Last Name:

*Address:

*City:

*State/Province:

*Zip Code/Postal Code:

*Country:

*PrimaryPhone:

*Email:

Event Information

*Event Title

*Start Date:

*End Date:

*Estimated Number of Attendees

*Event Start Time:

*Event End Time:

Additional Information

Notes:

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Amenities

Below is a list of Technology, Furniture and Other amenities available. To select an item, place the number of items needed next to the desired selection.

Technology	Furniture	Amenities

Your request will route to Events & Conference Services (ECS) once you submit this form. We will contact you once we have a chance to review this information.

Event	Status	Start Date	End Date	Spaces	Meals	Housing	Attendees	Outstanding Balance

Arrival Date:

Departure Date:

Number of Guests:

Number of Rooms: