Date___________

WEST VIRGINIA UNIVERSITY

STUDENT ORGANIZATION SERVICES

CONCESSIONS PERMIT

Student Organization:_____________________________________________
Description of Activity/ Event:_______________________________________

Location:________________________________________________________

Date:________________Day:__________________Time:_________________

Product Description (Merchandise/ Admission Price):___________________

_______________________________________________Cost:_____________

All receipts shall be paid into the following fund (bank & account no.)_____

If money is collected other than the routine assessment of members (such as dues), it is required that this Concessions Permit be present at the event, and that all net proceeds from the event be used for the organization, and/or donated to a charitable organization.

One copy of this permit is to be filed with the organization’s advisor

One copy is to be filed with the organization’s treasurer

One copy must be present at the time of the concessions operation.

If an outside vendor operates your concession, this Concessions Permit must be given to the vendor at the point of sale.
Advisor’s Signature:________________________________Date:__________
Applicant’s Signature:_______________________________Date:__________
Applicant’s Address:______________________________________________

Applicant’s Phone:___________________E-mail________________________

I agree to receive, administer, and account for the funds generated in this event:

_____________________ _____________________________ Date:________

Treasurer’s Printed Name Treasurer’s Signed Name

Approved:_______________________________________Date:____________ Ryan Dunn, Program Advisor for Leadership Development