State *
Select one of the following state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Organization type
Select one of the following type
For-profit
501 (c)(3) Non-profit
Individual
Governmental agency
Foreign entity
Other
How will guests be arriving (personal vehicle, bus, org. owned vehicle)?
List all other external vendors that will be providing services or equipment, along with what they will be providing:
Describe any non-space related requirements (e.g. audio-visual, wireless internet access, tables/chairs, etc.). Please be as specific as possible (e.g. number of seats/microphones needed, etc.)
Any other information or questions regarding this request?
I understand that Fairleigh Dickinson University requires all renters to provide a certificate of insurance prior to their event. This requirement is waived for all State and Federal governmental agencies.