Section A: All information in this section must be completed.
Location:
Event ID#:
(if previously assigned)
Type of Request:
Meeting Date:
Type of Meeting:
Meeting Start Time:
 :
# of Attendees:
Meeting End Time:
 :
Primary Contact:
Phone:
Company Name: Primary email:
Address:
On Site Contact:
Phone:
On Site email:
Title of Meeting:


Section B: Please indicate your meeting support needs. Note: We cannot guarantee technology support if it is not requested prior to your meeting start date.
# of Network Connections  
# of Analog Connections  
# of Network Technicians
  
# of Flip Charts  
# of Wired Mics  
# of Wireless Mics  
# of LCD Projectors  
# of VCR/Monitors  
# of Video Cameras  
# of Speaker Phones  
# of Projection Screens  
 

  # of Premium Sound Systems

  # of Sound Technicians

  # of Video Technicians

  # of Document Cameras
  # of Beta Decks
  # of Speakerphones
  # of Plasma Screens  
  # of Risers  
  # of Podiums
  # of Digital Encoders
  Lighting
  Switching Equipment


Section C: Videoconferencing If applicable
Type of Conference:     Total # of sites:  
Network Speed:     Bridge provider:  
Bridge Reservation Number:  
City:     # of Participants  
Name of one Participant:     Phone:  
City:     # of Participants  
Name of one Participant:     Phone:  
City:     # of Participants  
Name of one Participant:     Phone:  
If this is a point to point conference, please list the site provided by your company.
City:     Make/Model:  
Network:     Video Room Phone:  
Video Dial-up #'s:        
Contact:     Office Phone:  
Which city will initiate the call:  


Section D: Satellite If applicable
Type:     Transponder time needed:   hours
Satellite Needed:     Available Dishes:  


Section E: Additional Details of the event



Section F: Set Up Specifications
Event Seating Formation:
Other:


Section G: Catering Requirements - Please provide your catering specifics below. It's important to note that this page is reviewed and a menu based on your specifics will be faxed to you for your approval.
    Breakfast   Lunch   Snack   Dinner
Time   :   :   :   :
# of People        
Coffee        
Iced tea        
Iced Water        
Soft Drinks        
Bottled Water        

Catering orders will not be placed without this information.

Breakfast Menu Selections:

Lunch Menu Selections:

Snack Menu Selections:

Dinner Menu Selections: