Space Reservation Form
Space Reservation Form
Please fill out the form completely.
Authorized Signing Officer (ASO)
Authorized Signing Officer (ASO)
*
First
Last
ASO's E-mail
*
ASO's Phone No.
ASO's Phone No.
*
-
###
-
###
####
Group
*
Space Required
*
Mustang West Lounge
Community Room
McKellar Room
Room 269
Category
*
USC Internal
USC Club
Student Faculty/Residence/Affiliate Council
Off Campus
Western Department/Faculty
On-Campus At Large
Preferred Payment Method
*
Preferred Payment Method
Cash / Debit
Cheque
Credit Card
Speed Code
Club Account
Mailing Address (if non-USC Affiliated)
Mailing Address (if non-USC Affiliated)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
-------
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Name of Event
*
Type of Event
*
Meeting
Presentation/Speaker(s)
Conference/Workshop
Reception/Dance/Social
Dinner/Lunch
Concert/Performance
Convention/Display
Other
Event Date
Event Date
*
/
MM
/
DD
YYYY
Event Start Time (not including set-up or strike time)
Event Start Time (not including set-up or strike time)
*
:
HH
MM
AM
PM
AM/PM
Event End Time
Event End Time
*
:
HH
MM
AM
PM
AM/PM
Requested time for access to event space prior to event start time
*
Requested time for access to event space after event end time
*
Event Description
*
Estimated Attendance
*
Select any A/V Equipment Required
*
Select any A/V Equipment Required
Speaker/Presentation (Video and Mic)
Musical Performance (Acoustic)
DJ
Musical Performance (Band(s))
Lighting (Mustang Lounge Only)
No A/V equipment required
Select any Furniture Required
*
Select any Furniture Required
Theatre Style seating
Banquet Round Tables
6ft Display Tables
Rod & Drape
No Furnishing Required
If you chose any furniture above, please specify the quantity
Will you require food and beverage? (Catering must be contracted by The Wave - NO outside catering or food permitted)
*
Will alcohol be served?
*
Is this event open to the public?
*
Will there be ticket sales?
*
I acknowledge that no event is considered reserved until a confirmation has been received from the USC
*
I acknowledge that no event is considered reserved until a confirmation has been received from the USC
Yes
No