Table and Chair Request

Departmet name *

Delivery location *

Fund *

Cost center *

Number of tables requested *

Tables may be rented at a rate of $4.00 per day or $10.00 per week

Number of chairs requested *

Chairs may be rented at a rate of $0.50 per day or $1.50 per week

Deliveries and pick-ups are made Monday through Friday.

Delivery date *

Year Year20232024

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Delivery time *

Hour Hour8 am9 am10 am11 am12 pm1 pm2 pm3 pm

:

Minute Minute00153045

Pick-up date *

Year Year20232024

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Pick-up time *

Hour Hour8 am9 am10 am11 am12 pm1 pm2 pm3 pm

:

Minute Minute00153045

Comments

Requestor information

Full name *

Email *

Phone number *

Confirmation *

I certify I am authorized to approve fees be charged to the fund and cost center issued with this request.

Leave this field blank

Submit