The University of Scranton

Royal Card
Reader Loaner Request Form

* Required Fields

Student Group / Department Name:

Budget Number:

(include complete budget # where Royal Card sales will be transferred)

Requestor’s Name:

Event Group Name:

Contact Person’s Name:

Contact Person’s E-Mail: *

Contact Person’s Phone #:

Location is Gunster Lobby Where Reader Will be Set-Up:

Product Name:

Product Price:

Start Date &
Time of Event:
(We need a minimum of 3 business days notice for all requests)
Only available Monday-Friday between 10am-2pm

day – yr –

End Date &
Time of Event:

day – yr –

List of Students who will be operating the reader:

Special Instructions/Comments:

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