Sponsoring
Organization/Company:

If merchandise vendor, you must complete a Vendor Request Agreement with the University Supply Store, which has to be prepaid at least 24 hours prior to reservation

Name of Event

(as it will be advertised)

Contact Person:

E-Mail Address:

Phone Number:

Fax Number:

Mailing Address Line 1:

Mailing Address Line 2:

City:

State:

Zip Code:

Dates Requested:

From:

To:

Time Needed By:

Ending Time:

Location Desired (if any):

Contract Statement:

I have read and agree to comply with the University of Alabama Display Case Policy governing the use of Ferguson Center Facilities.

Please note: This is only a request. The Ferguson Center reserves the right to change assignments to accommodate the greatest number of customers.

Verification:

PLease enter any two digits with no spaces (Example:12):