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Student Organization and Department Facility Request Form

Please confirm with our office prior to the event reservation to ensure the space is available.

Time Of Event: The start and end time should reflect the beginning and end of the events, not the beginning and end of facility request. Events will be submitted to the Blinn Calendar for advertisement purposes.

For special event set up or additional information please contact the Student Leadership and Activities office at: Bryan Campus 979-209-7260 or Brenham Campus 979-830-4181.
First Name:
Last Name:
Blinn Student/Staff Email Address:
Phone Number:
Event Name:
Event Type:
For advertising purposes, please describe event in detail.
Estimated Event Attendance:
Date of Event:
Start Time of Event:
End Time of Event:
Campus Event:	Brenham Bryan RELLIS
Facility Selection:
Will you be using Blinn College Food Services?	Yes
Please contact Food Services at 979-209-7465. You are responsible for contacting Food Services.
Will there be an admission charge for participants?	Yes
Will there be commercial advertising?	Yes
Will dignitaries be in attendance?	Yes
Affiliation:
Number of Tables: For special events requiring extensive/specific set-up such as event layout, please contact Student Leadership and Activities Office at: Bryan Campus 979-209-7260 or Brenham Campus 979-830-4181.
Items Required for Set-Up: For special events requiring extensive audio visual needs, please contact the Student Leadership and Activities Office at: Bryan Campus 979-209-7260 or Brenham Campus 979-830-4181. PA system, (1) Podium Mic. (2) Table Top Mics (3) Wireless Mic. (4) Hand Held Mic. Podium, Overhead Projector/Screen, Computer/LCD Projector.

Student Organization and Department Facility Request Form

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