WICHITASTATEUNIVERSITY
CollegeofHealthProfessions
PosterPrintingRequestForm
REQUESTORINFORMATION:
Date:__________________________________________
Name:_____________________________________Department:__________________________________
ContactNumber:__________________________ NeededBy(Date):_______________________________
RoleClassification:[]Faculty[]Staff[]Student
Purpose:[]Conference/Meeting[]GRASP[]ClassProject
POSTERSPECIFICATIONS: PosterSize:_______________________________________
PosterCost:
[]StandardPoster:3’X4’orless($30.00)[]LargePoster:3’X5’ormore($35.00)
POSTERPAYMENT:
ORG:_____________Fund:_____________
Cash/Checkonly___________________(DOstaffinitialand/orreceiptneeded)
NOTE:Ifpayingcashorcheckpleasetakeform and paymenttoDean’sOfficeon4
th
Floorforareceipt.
BudgetOfficerSignature:______________________________Date:____________________________
CONFERENCE/MEETINGINFORMATION:
Conference/Meeting Name:____________________________________________________________
Title/Topic:_____________________________________________________________________
RequiredforStudentConference/Meeting,GRASPPosters:
GRASP:Title/Topic:_______________________________________________________________________________
StudentPresenter(s)_______________________________________________________________________________
Faculty/SupervisorApproval:_____________________________________Dept.:_____________________________
(Ihaveseenthisposterandapproveitscontent)
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