Organization/Company Name*
First Name*
Last Name*
Phone Number*
Email*
Meeting Title*
Meeting Description*
(90 words or less)
Requested Time Slot*
(breaks are limited to 1 hour)(select up to 5)
Sunday Evening
Monday Morning
Monday Afternoon Break
Tuesday Morning Break
Tuesday Afternoon Break
Wednesday Morning Break
Wednesday Afternoon Break
Thursday Morning Break
Thursday Afternoon
Friday
Expected Meeting Length*
30 minutes
1 hour
1 hour 30 minutes
Other
(Additional fees may apply)
Estimated Number of Attendees*
Desired Room Setup*
Theater
Classroom
U-Shape
Boardroom
Desired Audio Visual Setup*
Projector
Screen
Computer Connection
Whiteboard (or flip chart) & Markers
Conference Phone ($25 additional fee)
Not Applicable
Additional Notes
