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 Office of Student Life: DUCK BILL MACHINE REQUEST
Request Form
If your organization is interested in using the Duck Bill machine please send an email to Student_life@stevens.edu with the information listed below.  We will try and honor all requests that are made more then 48 hours in advance of the need.  Groups may be limited to the number of days that they can use the machine.  Groups may be asked to share the machine if two or more groups have requested to use the machine at the same time.  If you have any questions please call the Office of Student Life at (201) 216-5699.
Please copy and paste the information below into your e-mail request and fill in the appropriate information.
Organization:

Requestor Name:

Requestor Phone #:

Requestor Campus Address:

Requestor E-mail:

Location where Machine is needed:

Date(s) Needed:

Time(s) Needed:

What event will you be using the machine for?:

How much will you be charging?:

The money collected will be going towards which account?:

 
If you plan on using the box for more then one day please submit a calendar to the Office of Student Life.  The calendar needs to clearly identify the times and places as well as the responsible party for each day and time.

The machine must be returned to the Office of Student Life by 10 AM the next business day or to a predetermined location and time.

Please keep a list of individuals who pay using duckbills.  The list will be used to verify how much your organization receives.  The list should only include the name and the amount charged.

Requests that are made within 48 hours of the time needed may not be met.

 
10th Floor Howe   Castle Point on Hudson   Hoboken, NJ 07030   T 201-216-5699   F 201-216-8946    

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