Conference Planning and Keynote Speakers form

CONFERENCE PLANNING & KEYNOTE SPEAKERS

Contact Information
Your Name: A value is required.

Contact email address: A value is required.

Organization: A value is required.

Phone Number: A value is required.Invalid format.

Preliminary Conference Planning

What meeting format will you be using?

Business meeting

Themed gathering

Conference

Team building workshop

Other (Indicate "Other" format)

Please make a selection.

Keynote Speaker

What type of speaker(s) are you looking for?
(Choose all that apply.)

Keynote speakerMinimum number of selections not met.Maximum number of selections exceeded.
Session speakerMinimum number of selections not met.Maximum number of selections exceeded.
Spouse program facilitatorMinimum number of selections not met.Maximum number of selections exceeded.
Meeting facilitatorMinimum number of selections not met.Maximum number of selections exceeded.
TrainerMinimum number of selections not met.Maximum number of selections exceeded.

Meeting Space Needs

What kind of meeting space will work best for you?

Conference hotel with sleeping rooms

On campus University site

Off campus site, no sleeping rooms needed

Please make a selection.

What is the approximate size of the group? A value is required.

Please list your additional needs.
A value is required.

Miscellaneous Details
Event budget A value is required.

Time of year/date A value is required.

Please list your catering/other needs.
A value is required.

Supplies, promotional items, administrative support needs.
A value is required.