Submitted by:_____
_________________________ Email Address: ________________________________
Address:_________________________________________________________________________________
City:_______________________ State: ___ Zip: ________ Contact Number: ___________________
EVENT INFORMATION
Organization:____________________________________________ ______
(Please do not use abbreviations.)
Event Name:___________________________________________________________________________
Facility Used:_____________________________ Date: ____________ Time: __________
Please list complaint in detail below:
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Signature Date
FOR UNIVERSITY EVENTS CENTER USE ONLY
Date Received: _________________ Received by: ______________________________
Corrective Action Taken: ___________________________________________________________________
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North Carolina Agricultural and Technical State University
University Events Center
COMPLAINT FORM
Student Center, Suite 3
68 Greensboro, NC 27411 Telephone (336) 285-2580 Fax (336) 334-7131 uec@ncat.edu
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