NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE
UNIVERSITY
Event
Ticket RequestForm
University Box Office
Ticket Office-Brown Hall Nor
th Carolina A&T State
University Telephone: (336) 334-7749 Fax: (
336) 334-7382
Ticketing Request Details
The University Logistics Committee will ma
ke the
final
decision
on
required ticketed admission, ticket stock,
andthe number of tickets available to be printed and sold based on program content, facility, event set-up,
facility capacity and the number of program participants.
Contact Name:__________________________________________________________________________
Contact Number:_______________________________ Event Reference #:________________________
F
und Account Na me :_____________________________________________________________________
Fund Account Number:____________________________________________________________________
(Student Organization funds will be deposited in COSA)
Distribution Date:__________
Number of tickets requested:______ OR ______(Max Capacity)
Total # of Complimentary tickets:________ (Amount deducted from total number of tickets available for sale.)
Would you like to check these tickets out on consignment?
Yes
No
If
yes, then
consignment for
:
Pre-Sale Door Sales Both
Total # of consignment tickets:________ (Amount deducted from total number of tickets available for sale) University Police
presence is required for
door sales. A cost estimate associated with police coverage will be issued upon completion of this form. There is also a 3%
commission fee on all tickets sold for all non-campus organizations requesting a ticketed event, as well as a $0 .25 charge for each ticket printed.
Your ticket will include the following information
(1) Sponsoring Organization:___________________________________________________________________
(2) Event Name:_____________________________________________________________________________
(3) Date & Time:___________________________
______ (4) Time:__________________________________
(5) Location:_______________________________________________________________________________
(6) Price: College Student ID-Cost: $ ________ x 10% = Ticket Price: $____________
Day of Show Cost: $____________
General Public Cost: $__________
Day of Show Cost: $_________ ___
x 10% =Ticket Price: $______________
x 10% = Ticket Price: $______________
x 10% = Ticket Price: $_______________
Please describe any additional ticket distribution or
packaging information:
Signature:___________________________________________ Date:__________________
A Land-Grant University and A Constituent Institution of the University of North Carolina
Student
Center, Suite 368
•
1403 W. John Mitchell Dr
•
Greensboro, NC 27411
•
(336) 285-2580
•
Fax (336)
334-7131
This form is for departments and/or student organizations requesting ticket office support for any campus
activities. This form must be submitted to University Event Center no less than 21 days prior to the event
date.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
