Inflata-Gus Request

Please fill out the form completely.

University Department (required)

Title of Event (required)

Name of Person Making Request (required)

Your Phone Number (required)

Your Email Address (required)

Date  of  Event (required)

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Start Time of Event/Service  (required)
AMPM

End Time  of Event/Service (required)

AMPM

Event Location (required)

Expected Number of Attendees (required)

Detailed Event Description (required)

DAY OF EVENT INFORMATION

On-Site Contact Name (required)

On-Site Person Phone Number (required)

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