This agreement needs to be completed when a Registered Student Organization (RSO) desires to use a service of a Western Michigan University department. This form should only be used when a RSO is allocated Student Assessment Fee money and will pay for the services using an on-campus financial account.

Purpose

1. To agree on the service to be performed and the total fee for the service.

2. To verify the fund and cost center for the RSO.

3. To verify that the RSO has adequate funds to pay for the desired service.

4. To verify that the RSO was allocated SAF funds for the service.

Process for completing the agreement

1. University department and representative from RSO complete the form to agree on the service and fee before the service is provided.

2. University department faxes it to the RSO Financial Advisor at 387-2185.

3. RSO Financial Advisor verifies the fund and cost center, adequate funds in RSO’s account, and that the RSO was allocated SAF funds for the service.

4. RSO Financial Advisor faxes the signed form back to the University department.

5. If the fee changes, the University department must contact the RSO Financial Advisor at 387-2484 to verify adequate funds.

6. University department charges the RSO financial account after the service is provided.

If a University department does not receive approval of this agreement from the RSO Financial Advisor prior to charging a Registered Student Organization for a service, the University department may be responsible for the charge.

Today’s Date _______________________________________________________________________________________

Registered Student Organization Name ___________________________________________________________________

RSO Representative’s Name ______________________________________ Position _____________________________

RSO Representative’s Phone Number _______________________________ E-mail ______________________________

University Department ________________________________________________________________________________

Department Staff Name _______________________________________________________________________________

Department Phone Number _______________________________________ Dept. Fax ____________________________

RSO Event ____________________________________________________ Date(s) of Event _______________________

Desired Services _____________________________________________________________________________________

RSO Fund/Cost Center __________________________________________ Total Fee for Service ____________________

This expense will be paid using SAF Funds allocated by : WSA_______ CAB_______ GSAC _______

RSO agrees to the following conditions when applicable:

1. RSO members and guests will comply with all state and federal laws and all University and Student Activities and Leadership Programs (SA&LP) policies and procedures during said event.

2. RSO members are solely responsible for the condition of all University facilities, equipment and property pursuant to this agreement and will pay all damages or losses to the University within 30 days of the billing date. The RSO hereby authorizes University staff to deduct the above noted fee for the service(s) contracted from the RSO’s account without further notice or the obtaining of additional signatures.

Signature of RSO Representative ___________________________________________ Date _______________________

Signature of Department Staff Member ______________________________________ Date _______________________

Signature of RSO Financial Advisor _________________________________________ Date _______________________

verifies adequate funds, fund and cost center, and allocated expense