DAC 2021 Additional Meeting Meeting Request Form
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Group Name *
Meeting Name: *
Program Description: *
Primary Contact Full Name: (Note: This person is responsible for finalizing event logistics and approving costs) *
Primary Contact Email Address: *
Primary Contact Phone Number: *
Meeting Date *
Start Time: *
Time
:
End Time: *
Time
:
Estimated Number of Attendees: *
Room Set: *
Please select additional room set requirements:
If selected "Panel Set" from the above, please specify the number the panel should be set for:
Please list any additional furniture requirements (i.e. barstools, armchairs, etc.)
Food and beverage needs - Please provide details on coffee service, meals, or snacks. Include deliver times if possible. (i.e. buffet, plated, etc.) *
Please select from the below for your Audio/Visual Equipment needs: *
Required
If you selected any of the above microphones, please list how many of each microphone you will need:
Will you need a technician in the room to run the meeting or a floating tech on standby: *
Please list your internet needs: *
Please list your electric needs: *
Does your event require signage: *
If your event requires signage, please include signage copy below:
Does your event require a lead retrieval device *
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