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Event Information
Name of event
*
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Description of event
*
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Location of event
*
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Parking information
*
Invalid Input
Date of event
*
Invalid Input
Start time of event
*
Invalid Input
Event end time
*
Invalid Input
Estimated size of audience
Invalid Input
Refreshments
Refreshments
breakfast
lunch
dinner
snacks
other
none
Invalid Input
Has press been invited?
*
Has press been invited?
Yes
No
Invalid Input
Department / School / Entity paying for the event
*
Invalid Input
Next >
Engagement Details
Purpose of attendance
*
Purpose of attendance
host / speaker
guest / vip
other
Invalid Input
If other, please explain
*
Invalid Input
Type of remarks
*
Type of remarks
Welcome
Introduction
Keynote
Closing
Panel
Award Presentation
Other
Invalid Input
If other, please explain
*
Invalid Input
Is the venue equipped for PowerPoint? Dr. Carver brings his own laptop.
*
Is the venue equipped for PowerPoint? Dr. Carver brings his own laptop.
yes
no
other
Invalid Input
Name of A/V contact
Invalid Input
Phone number for A/V contact
Invalid Input
Length (in minutes) of remarks
*
Invalid Input
Q/A to follow?
*
Q/A to follow?
yes
no
Invalid Input
Event agenda
*
Invalid Input
Invitation list
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Contact Information
Your name
*
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Your phone number
*
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Your email
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Are you the contact person for the event?
*
Are you the contact person for the event?
yes
no
Invalid Input
Name of event's contact person
*
Invalid Input
Contact person's phone number
*
Invalid Input
Contact person's email
*
Invalid Input
Additional information
Invalid Input
Invalid Input
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