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Campus Gas Special Event Form
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* Indicates required question
Email
*
Your email
Name of Primary Contact
*
Your answer
Name of Organization Conducting Event
Your answer
Primary Contact Phone number
*
Your answer
Primary Contact Email
*
Your answer
Date of Requested Event
*
MM
/
DD
/
YYYY
What time of day will the event begin
*
Time
:
AM
PM
How long will event last
*
Your answer
Is this a private event ( private meaning closed to the public)
Yes
No
Maybe
Clear selection
How many people are estimated to attend
*
Your answer
Will Campus Gas be providing food for the event
*
Yes
No
Maybe
If you answered yes, what menu items would you like to have available
Pimento Cheese and Crackers
Chili Cheese Fries
Bacon Cheese Fries
Loaded Philly Fries
Fried Pickles
Fried Mac & Cheese
Fried Jalapeno
Salad
Carolina Dog
Pimento Cheese Dog
Chili Cheese Dog
Carolina Burger
Campus Classic
White Cheddar Jalapeno Burger
Pimento Cheese and Candied Bacon Burger
Pulled Pork Burger
BLT
Pulled Pork BBQ Sandwich
Grilled Pimento Cheese
Philly
Crazy Philly
Fries
Will there be an open tab for beverages
Yes
No
Maybe
Clear selection
Will there be an open tab for food
Yes
No
Maybe
Clear selection
Will everyone in attendance be over 21
Yes
No
Maybe
Clear selection
If your expected event attendance exceeds 100 persons, do you agree to provide security?
Yes
No
Maybe
Clear selection
A copy of your responses will be emailed to the address you provided.
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