Reader Request Form Your Name* First Last Your Email* Your Cell Phone*Name of Organization*Name of Event*Elon Account Number*Reason for the Reader*If you are selling something please indicate what you are selling.Specify the location the Reader will be used.*Dates and TimesPlease provide the dates and times you would like to reserve the reader:Date 1* Start Time 1* : HH MM AM PM End Time 1 : HH MM AM PM Date 2 Start Time 2 : HH MM AM PM End Time 2 : HH MM AM PM Date 3 Start Time 3 : HH MM AM PM End Time 3 : HH MM AM PM Must Read Elon University offers terminal devices to organizations so they can accept Phoenix Cash as a form of payment. The Phoenix Card Office reserves the right to refuse any reader request and to remove equipment during an event. Readers may be reserved for a total of three days per event, Monday thru Friday from 8:00 a.m. – 5:00 p.m. unless otherwise specified. The requesting organization agrees to take full responsibility for the equipment during the date/times listed above in the event the equipment is damaged, lost, or stolen. This form must be completed prior to picking up the equipment to ensure we properly credit your organization after the event is over. All payments made through the readers at an event will be transferred to the account number provided on the request form. By pressing submit below I am acknowledging I have read, understand, and agree to the terms and conditions set forth in this reservation request.CAPTCHANameThis field is for validation purposes and should be left unchanged.