Department or Request Group Contact Name Phone 2nd Phone Email Business Manager First Name Last Name Business Manager Email Event Date Name of Event Check all types of services requested Parking Attendants Bollard Removal Cone Rental Golf Carts 6 Seater Meter Reservation Shuttle Reservation Unreserved Space (Inside Gated) Reserved Space (Inside Gated) Reserved Space (Outside Gated) Barricade Rental Trolley Reservation Reservation Details How many vehicles? How many people? Do you need a wheelchair accessible vehicle? - None -YesNo Itenerary? Please upload a Word or PDF document only. Maximum file size is 5MBs. This request is for: - None -DepartmentStudent GroupOutside Group Banner Account Banner Org Banner Program Account Number Billing Mail Stop Address Billing Address Business Address Street Address 2 City State StateAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code I agree to the following terms. Rental Agreement I have read and understood that all request are subject to the approval by the Director or appropriate staff of the Parking & Transit Services Department. I have also read all the rules and regulations of the department, and therefore take responsibility of all rented furnishings during our rental time. Any request 24–48 hours prior to the event date, may not have standing due to availability of buses or drivers. Prompt payment is required in order to prevent my account from being placed on hold status. All check payments should be made out to Mississippi State University. Please place event title in the “for” section of the check. Leave this field blank