Test Form Page – Conference Services

How did you hear about us?

General Information

Organization / Company:

Event Name:

Event Type:

Purpose of Event

Contact Information

Event Planner Name:

Event Planner Phone Number:

Event Planner Email Address:

Organization / Company Website URL:

Your organization’s website or one from a previous year’s event

Organization / Company Street Address:

City

State

Country

ZIP Code

Projections

Preferred Start Date

Preferred End Date

Secondary Start Date

Secondary End Date

Attendee Anticipated Arrival Time:

Attendee Anticipated Departure Time:

Approximate Attendance:

Please include all who will stay on site (speakers/leadership)

Will you need meals during your event?

Yes

No

Unsure

Will your attendees need parking during your event?

Yes

Yes, but not not all attendees

No

Please describe your event meal needs in detail:

Please describe any parking needs in detail:

Will your event require a storage room for supplies?

Yes

No

Unsure

Facilities Requested

Housing Spaces

Apartment-Private single-occupancy bedrooms with shared kitchen, living room and semi-private bathroom facilities

Traditional-Double occupancy bedrooms with shared bathroom and shower

Suite-wo double-occupancy bedrooms with adjoining semi-private bathroom

Will your event require linen packets (sheets, blanket, pillowcase, 1 shower towel, 1 hand towel)?

Yes

Yes, and include a pillow

No

Basic Meeting Space Schedule:

Please provide a basic outline of meeting space needs for each day of your conference.

Please list any universities or colleges that have hosted your conference in past year(s):

Do you have any special needs or additional comments?

Groups working with Conference Services are strongly encouraged to include the following on all marketing materials for their event: “This program is in no way sponsored by Georgia Institute of Technology, The Board of Regents of the University System of Georgia, or any other affiliated organization. [Program/Event name] is managed solely by Organization

Agree