Student Org Reservation Form
For use by UCSD Student Orgs only
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Student Organization Name
Student/Community MemberRepresentative Name
Principle Member Contact E-Mail
Contact Number
Please provide a brief summary of the event you want to do
Date/Time of Event
MM
/
DD
/
YYYY
Time
:
Expected number of attendees
Will you be charging for this event?
If charging, how much?
Is there another day(s) that would work if initial date is taken?
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