DJ Request

* Required

Name: *

This is a required question

Organization: *

This is a required question

Email Address: *

Must be a valid email address

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Phone Number:

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Location of the Event: *

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Is this for a Student Organization? *

Yes
No

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Is The Event Free/Open To The Public? *

Yes
No

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Start Time: *

:

End Time: *

:

Date Requested: *

Event Description *

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