TABLES AND CHAIRS RENTAL ORDER FORM

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TABLES AND CHAIRS RENTAL ORDER FORM Powered By Docstoc
					F A C I L I T Y S E R V I C E S R E N T A L F OR M

Please review the following information and complete this form so that we may better serve you. Note: Rentals are for ON CAMPUS EVENTS ONLY. Contact: Dept./Organization:
Please Provide Chartfield String: Fund (5 digits) Dept ID (6 digits)

Phone: Event:
Account (6 digits) Program (5 digits)

Fax:

Grant / Project (6 digits)

Class (5 digits)

Items to be delivered & picked up: (M-F 8:30am to 3:00pm only)

Self-Serve pick up and return at Warehouse: (Self-serve is M-F 8:30am to 3:30pm only)

*NOTE: For Saturday or Sunday Event – Item(s) to be delivered/picked up Friday and returned Monday

Delivery/Self-Serve Date: Items to be delivered to: Bldg:

Time: Room:

If location is outdoors, please indicate the exact location where the items are to be delivered (attach map if necessary):

Items will be returned on : Date:   

Time:

Once delivered/picked up, items are the responsibility of the contact club or department. The replacement cost will be charged for lost or damaged items. All charges are per 24 hour period.

Please indicate the quantity of each item needed in the space provided: Tables @ $3.00 each: Chairs @ $0.25 each: Classroom Podiums @ $5.00 each: Podiums w/ Cal Poly Seal @ $5.00 each: Platform Risers @ $10.00 each: Bike Racks @ $12.50 each: Setup/Custodial Services @ $35.00/hour: Trashcans & Liners @ $1.00 each: Recycle Bins @ $0.00 each: Stanchions & Boards @ $5.00 each: A-frames @ $5.00 each: Other: Delivery Fee @ $35.00: Total Charge: $
Please send or fax this form to: facserv@calpoly.edu Facility Services, Building 70 Office: 6-5555 Fax: 6-6114

Revised – 3/14/06


				
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