Event Toolkit Order Form
Contact Information
First Name
Last Name
Title
Email
Phone
Department
Please select...
Anesthesiology and Perioperative Medicine
Biochemistry and Molecular Biology
Cellular and Molecular Physiology
Comparative Medicine
Dean's Office
Dermatology
Emergency Medicine
Family and Community Medicine
Humanities
Medicine
Microbiology and Immunology
Neural and Behavioral Sciences
Neurology
Neurosurgery
Obstetrics and Gynecology
Ophthalmology
Orthopaedics and Rehabilitation
Otolaryngology - Head and Neck Surgery
Pathology and Laboratory Medicine
Pediatrics
Pharmacology
Physical Medicine and Rehabilitation
Psychiatry and Behavioral Health
Public Health Sciences
Radiation Oncology
Radiology
Surgery
Urology
Other
Alternative Contact Name
Alternative Contact Email
Alternative Contact Phone
Event Information
Reason for request or event at which items will be displayed
Event Name
Event Date
Event Location
Anticipated Number of Attendees
Description of anticipated audience
(i.e. potential students, families, community members, etc.)
Items
How many items are you requesting (please note the maximum quantities below):
Tablecloth 12'
Max. 2
Poster Easel
Max. 3
Acrylic Sign Holder
Max. 6
PSU Paw Print Rug 5'x7'
Max. 1
Defining What Medicine Means Banner
Max. 1
College of Medicine Podium Banner
Max. 1
Podium Sign Blue 24"
Max. 1
Podium Sign Blue 30"
Max. 1
Podium Sign Blue 36"
Max. 1
Podium Sign White 24"
Max. 1
Podium Sign White 36"
Max. 1
Photo Prop Signs
Max. 2
Design selection is first come, first served
Canopy, 10'x10'
Max.1
Pedestal Sign Holder
Max.1
Total Items
Additional Comments
As a reminder, requests submitted with less than two weeks’ notice may not be fulfilled. Upon clicking “Submit Order,” you can expect to receive an appointment invite from one of our team members within five business days, listing the approved items. Pick-up and drop-off appointments will typically be scheduled on Tuesdays. If this request is approved, you or an alternative contact must pick up and drop off the items at 100 Crystal A Drive, Hershey, PA 17033
.
I Agree. I will be the contact to pick up and drop off the order.
I Agree. An alternative contact will pick up and drop off the order.
I understand some items may not be in stock.*
I understand I am responsible for bringing a dolly or portable cart for transportation if needed.*
Alternative Contact
First Name
Last Name
Phone
Contact Information