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SPONSORING

ORGANIZATION OR
GROUP
Student Contact Name

Email

Advisor Contact Name

Email

Advisor Signature

EVENT DETAILS

Date of Event Name of Event

Anticipated Attendance Location of Event

Is event is open to the Will media will be


general public? Yes present? Yes

Will alcohol be available at Payee is a current


the event? No
NU Student

OFFICE USOFFICE USE ONLYE ONLY

DATE COMMENTS

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