Date:
Department/Organization: *
Name of Applicant: *
Address: *
Phone: *
Fax: *
E-Mail: *
Event Date: *
Event Location: *
Event Description: *
Event Times: * Start: - End:
Number of Guests: *
Total Estimated Cost of Food & Beverage: * (If the estimated cost for catering changes +/– 10% after this Waiver is submitted, a new Waiver application must be competed and returned to the Event Planning Office.)
Reason for Waiver Request: * (Waivers will not be approved based on source of funding.)
Name of Prospective Caterer: *