Student Services | Non-commercial Tabling Request Form for the Lake Worth Campus

First Name*

Last Name

Phone Number*

Email*

Purpose of being on campus*

Dates you are expected to be on campus*

I hereby affirm that the information given herein is true and accurate to the best of my belief and knowledge and that I am authorized to act on behalf of the named organization in this regard. I have received and reviewed the rules of Palm Beach State Colleges Non-commercial Tabling Terms and Conditions and agree that such use will conform to these rules. Campus activities are prioritized over tabling requests and I may be asked to moved to an alternative location.

I Agree:

I Agree