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EVENT REQUEST FORM
CUSTOMER INFORMATION
First name
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Last name
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Phone
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Email
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Department
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EVENT INFORMATION
Event Name
Please provide a valid Event name.
Event Location
Please provide a valid Event Location.
Event Begin Date
Event End Date
Event Begin Time
Event End Time
Number of Permits Required or Number of Vehicles expected
Please provide a valid Event name.
Requested date of permit pickup
Preferred Parking Location:
MLG/MV
RDG
SDG
ULG
XVL
OTHER
Payment Option
KFS Account Number (University Only)
Credit Card - You will be contacted for payment information
Please provide a valid number.
Special Event Services
NO
YES
Please provide a valid number.
Requested Services:
Lot Attendant
Spaces Blocked
Sign Package
Permits
Guest Arrival Time Start
Guest Arrival Time End
Comments
Our Contact information:
Bridget Powell - bepowell@umd.edu;
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