CHANGE/CANCELLATION REQUEST FORM

CHANGE/CANCELLATION REQUEST FORM
Please Check:
Change Event Details:
Contact
Time
Attendees
Location
Other
Add / Change Room
Add / Change Equipment
Add / Change Date(s)
Cancel
Registered Student Organizations and University Departments:
Cancellations must be submitted at least 7 days prior to the event. Cancellations made within the 7 day time frame are subject to late cancellation fees.
Non-University Groups:
Cancellations must be submitted at least 30 days prior to the event and are subject to a cancellation fee.
Cancellations made within the 30 day time frame are subject to forfeiture of deposit and/or late cancellation fees.
Name of Organization/Department
Event Name
Event Date
Event Location
Reservation #
Event Coordinator
Addition/Change Details/Cancellation Reason:
Please note: Your signature on this form indicates your ability as the Primary or Secondary Contact of the reservation to request changes or cancellations. You further
acknowledge that the above is only a request and that it is not guaranteed nor in effect until notice is received from the office of Student Union & Event Services. If your request is
granted, you recognize that you and your event may be subject to additional policies and/or fees, where applicable.
Contact Name (please print)
Phone Number
Email
Date
Signature
For Office Use Only
Date Received:
Date Completed:
Completed By:
T 702.895.4449 F 702.895.1609
Rev. 07/12
Event Operations Quoted Charge:
UNLV Student Union & Event Services
W eventservices.unlv.edu
E [email protected]