NSU Facility Leasing

Contact Information

Required fields are marked with an asterisk (*)

Organization Name:

Organization Type:

Are you FL tax exempt?

Contact Person: *

Title:

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Telephone:

Email Address:

Confirm Email Address:

Required fields are marked with an asterisk (*)

Date of Event:

Title of Event:

Start Time (including setup):

End Time (including break down):

Number of Attendees Expected:

Purpose of Event:

Proposed NSU Location:

Is this event open to the public?

Will food be served?

Room setup requests:

Audiovisual equipment request (check all that apply):

LCD Projector

Projection Screen

Laptop

Dry Erase Board

Technical Support Needs

Other (please specify below)

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