* Please Attach a Copy of the Event Registration Form and a Flyer, If Available

CONTRACT REQUEST FORM

The form should be used whenever an entertainer, performer, speaker, etc. is brought to campus by a student group, organization, and/or department/office seeks payment. The process to complete a contract must be started 10 (ten) weeks prior to the event to ensure payment can be available at the time of the service. The invited guest(s) must submit a substitute W-9 form, proof of insurance, and all technical requirements must be included. Please contact the Student Union Office, SU 2525 or at [email protected] or 419-530-4701 if you have questions.

*Please attach a copy of the Event Registration Form and a flyer, if available.

Student Organization Name Student Organization Representative 1 Student Organization Representative 2 Name Name Email Address Email Address Phone Number Phone Number

Performer/Speaker(s) Name Company Address Email Address Phone Number Type of Service/Performance (BE SPECIFIC) Cost to be Paid Check payable to

Event Name Topic of Presentation Day/Date of Event Time of Event Location Type of Performance Will tickets be sold for this event? Yes No University Student Price Non-Student Ticket Price Technical Requirements

Special Requests

Funding Source(s) Organization Name Budget Line Amount

Office Use Only: Date Action Comments Budget Approval – Geni Hofbauer OSI Approval Contract Created and Saved in File Contract and W-9 Form Mailed (Email/Postal) Contract (Signed by Artist), Review Form to VP 3 Copies of Contract Made 2 Copies, W-9 set to Geni Hofbauer for Check to be Cut