Fall 2012 and Spring 2013 Table Tent Information Form
RSO or Department Name
Contact Person
Email Address
Phone Number
Month of reservation
Select One September October November December
Type of Payment
Select One Cash Check (Made out to WMU) Fund Cost Center
Select One January February March April
if Paying through Fund Cost Center, Please provide account number
I agree on behalf of my RSO to the listed polices, procedures, and processes.
Student Activities & Leadership Programs Western Michigan University Kalamazoo MI 49008 USA 269-387-2115 | 269-387-2185 Fax