Event Security Request Form

Name Name * First Last
Email address *
Phone number Phone number * - ### - ### ####
Primary Contact
Name of Event *
Brief description of event
Location *
Will alcohol be served? *

Will alcohol be served? Yes No
Date Date * / MM / DD YYYY
Begin time Begin time * : HH MM AM/PM
End time End time * : HH MM AM/PM
Attendance *
Department/Organization *
IDT or address *
Special Instructions