Chamber Use Request

To request the use of either of our chambers please complete the form below.

Name*
First Last
Email*
Phone Number
Organization*
What is the name of the organization which will be using the chamber?
Which chamber do you wish to use?*
- The Dialectic Chamber, New West 310
- The Philanthropic Chamber WITHOUT food, New East 407
- The Philanthropic Chamber WITH food, New East 407
Date*
MM slash DD slash YYYY

On what date will your event be?
Starting Time*

: Hours

Minutes

AM/PM
Ending Time*

: Hours

Minutes

AM/PM
Event Description*
Describe your event in a few words and include any special requests or questions. If requesting the Phi with food please briefly describe your planned use (light refreshments, potluck, etc.)
Fee Waiver
- I request a fee reduction
- I request a fee waiver
If you would like the request a reduced fee or a fee waiver, please select one of the options
Fee Reduction Request Explanation*
Because you requested a reduced fee, please provide an explanation of your request and your proposed fee. When considering your chamber request, the societies may or may not decide to grant your fee reduction request.
Fee Waiver Request Explanation*
Because you requested a fee waiver, please provide an explanation of your request. When considering your chamber request, the societies may or may not decide to grant your fee waiver request.
Policy Agreement*
- I agree to the Chamber Use Policy

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