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CENtix Form Fillable

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The CENtix Form Fillable form is 2 pages long and contains:

  • 2 signatures
  • 6 check-boxes
  • 41 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Central Connecticut State University

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Stu
Reservation
#:
Event Name:
Event Date: Event
Time:
Location of Event: # Of Tickets Available:
Sales at the door
(time):
Date tickets should go
on
sale:
Bus
Trips:
Place
and
time of departure:
Sponsoring Organization/Account#:
Person
Placing Order (please
print):
Signature of Above
Named:
Tel.
#:
Person we can contact regarding more details on the event
Name: Tel. #:
Student Activities
Advisor
Signature:
Tel.
#:
Ticket Types
(All tickets will have processing fees dependent upon the type of ticket sale or type of purchase.)
Note: Student payroll for all satellite shifts will be charged to the sponsoring organization.
1) General Admission: OR Reserved Seating:
2) Do you want the tickets sold online? Yes No
3) Select the type of tickets that will be used for your event. If the desired description is not listed add
the appropriate description next to ‘Other’.
Type of Ticket
Student
$
Faculty/Staff
$
Guest $
Other
$
Student Center: CENtix Ticket Order Form
Please allow ten (10) business days for tickets to be available for sale, those client(s) who need
a supporting database please allow fourteen (14) business days.
click to sign
signature
click to edit
click to sign
signature
click to edit
Criteria for Ticket
Sales
Number of tickets per CCSU student ID: Show CCSU Blue Chip I.D.: Yes No
Price includes:
Other: (E.g., are tickets available to the general campus community?)
Brief Description of Event
(Do you have an organization or event logo you would like noted on the web Box office?)
(Please attach any event related flyers if available, this information is for patrons)
Important: Once you have filled in your form, please contact Tiffany Moffo Simpson
(860-832-1972, Moffot@ccsu.edu) or Debbie Peterson (860-832-1985,
Peterson@mail.ccsu.edu) to schedule an appointment.
Visit our Website: http://stdct
r
.ccsu.edu
(Download additional CENtix forms)
FOR OFFICE USE
ONLY
Showare Event Set-Up
Name of Event: Date(s):
Event Code:
Space:
Process
Fee(s):
Performance
Code(s):
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Completed 8 March 2020

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