ࡱ> ?A>@ ?bjbj /*uu?T56: : : :  tC <$!Rs   : : ( ( ( : : ( ( ( ( :  dxl ( 05(  ( ( x > ,( $    d,d ,The University of North Carolina at Chapel Hill Interdepartmental Fees and Charges Committee Space Rental Survey Instrument Title of Space Rental:  FORMTEXT insert title of space rental here (e.g. Smith Seminar Room) Rental Income Account #:  FORMTEXT insert account # where rental income is deposited Rental Expenses Account #:  FORMTEXT insert account # where rental expenses are charged Name of Facility:  FORMTEXT insert building name Room Location:  FORMTEXT insert room number Capacity:  FORMTEXT list the maximum number of people the space will hold Description of Space Rental Fee:  FORMTEXT insert description of space rental fee here - description should fully explain why you are charging for use of the space Limitations on Use:  FORMTEXT explain time limitations on when space is available (e.g. hours and days of the week space may be rented) Percentage Space Used for Fee Charging Activities:  FORMTEXT Insert the percentage of time the space is used for fee charging activities Eligibility for Use:  FORMTEXT explain who is and is not eligible to rent the space (e.g. a department may choose to rent to other campus departments but not to units unaffiliated with the University) Fees:  FORMTEXT list the fees for the space and any other related fees, even if the services are optional (e.g. specific fees for space rental, audiovidual equipment, cleaning, security, etc.) Exception to Fees:  FORMTEXT list individuals, groups or other users, if any, for whom you waive or reduce the fee(s) Preparers Name:  FORMTEXT insert name here Title:  FORMTEXT insert title here Date Prepared:  FORMTEXT insert date here Phone #:  FORMTEXT insert phone # here Preparers Email Address:  FORMTEXT insert email address here /0]{|~̽wcTB8hXOJQJ^J#h,h0c[OJQJ^JmHnHuh OJQJ^JmHnHu'jh h OJQJU^Jh OJQJ^Jjh OJQJU^JhZhZ5OJQJ^Jh<5OJQJ^Jh1si5OJQJ^Jh,OJQJ^Jh.5CJOJQJ^JaJh{n5CJOJQJ^JaJ#hBnhY5CJOJQJ^JaJ#hBnhP5CJOJQJ^JaJ0]|}~A B   W X y   ! gdcSgdggd1sigdZ ^`gdX$a$gdP?   ? @ A B R \ ] ^ h i j ¸•Šи¸k•`R`hDh,5OJQJ^Jh<5OJQJ^J'j4h {h {OJQJU^Jh U.5OJQJ^Jh1si5OJQJ^Jh {OJQJ^JmHnHu'jh {h {OJQJU^Jh {OJQJ^Jjh {OJQJU^Jh0c[h {5OJQJ^Jh {5OJQJ^Jh%)h1siOJQJ^Jho`OJQJ^J         U V W 񺯤xmbNb'jhKhKOJQJU^JhN`5OJQJ^Jh U.5OJQJ^Jh1siOJQJ^J'j6hKhKOJQJU^JhDh1si5OJQJ^Jh1si5OJQJ^Jh,5OJQJ^Jh,OJQJ^JhKOJQJ^JmHnHu'jphKhKOJQJU^JhKOJQJ^JjhKOJQJU^JW X Z w y z      ! 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DText13iexplain time limitations on when space is available (e.g. hours and days of the week space may be rented)eExplain time limits on when space is available (e.g. hours and days of the week space may be rented).DKInsert the percentage of time the space is used for fee charging activities^Insert an estimate of the percentage of the time the space is used for fee charging activities4DText12explain who is and is not eligible to rent the space (e.g. a department may choose to rent to other campus departments but not to units unaffiliated with the University)6Explain who is and is not eligible to rent the space. DText14list the fees for the space and any other related fees, even if the services are optional (e.g. specific fees for space rental, audiovidual equipment, cleaning, security, etc.)]List each specific fee for the space rental, audiovisual equipment, cleaning, security, etc. DText15Xlist individuals, groups or other users, if any, for whom you waive or reduce the fee(s)[List individuals groups, or other users, if any, for whom you waive or reduce the charge(s)DText6insert name here4Insert the name of the individual preparing the formDText5insert title here1Insert the title of the person preparing the formDText7insert date here*Insert the date that you complete the formDText9insert phone # hereInsert phone # of preparer hereDText8insert email address here.Enter the campus email address of the preparer@@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRiR  Table Normal4 l4a (k(No ListHH o` Balloon TextCJOJQJ^JaJ6U@6 ZB Hyperlink >*B*ph?*0]|}~ABWXy!"701234567A000x000x0000000x0000 0000000 00 0 0 00(00@00 0(0000000000 0 0 yA?0000?00$ W S? ! ? ?  ?]iUy!7C.HTew"<?FFFFFFFFFFFFFFFFF8@0(  B S  ?Text1Text3Text10Text11Text2Text13Text12Text14Text15Text6Text5Text7Text9Text8z8IxA @V/f=Aq"qIq?q"$A /A9*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName AA0]AA0C G ):X<3Dyg{n+G*d 7L }EM: '%U%i*J2-|-!. 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