Popcorn Machine Rental Form

Name of Group/Individual:
Please enter a Name for the Group/Individual

Todays Date (mm/dd/yy):
Please enter todays dateInvalid format.

Type of Group/individual: Please select Residence Hall Student Group/UNC Department Greeley Business Other
Please select a Group/Individual Type

Contact Person email:
A contact person is required.

Title:

Address:
An address is required.

Phone (XXX) XXX-XXXX:
A Phone number is required.Invalid format. (XXX) XXX-XXXX

Email:
An email is required.Invalid format.

Requested Dates and Times:
A value is required.Exceeded maximum number of characters.

Name of Event:
Event Name is required.

Location of Event:
Event Location is required. Want it delivered to location?(10$ delivery fee) Put Yes/No with Location of Event

I HAVE READ, UNDERSTAND, AND AGREE TO THE RENTAL TERMS

Yes

No

Costs:

• Student Group/UNC Department: $45
• Non-UNC Affiliates: $70

**Please make all payments to UNC/RHA**