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Event Request Form - Goal 17 Partnership Space
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First Name
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Last Name
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Email Address
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Company
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Event Title
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Requested Event Date
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Month
Month
Jan
Feb
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Year
Year
2016
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Requested Event Time
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Hour
hour
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Minute
minute
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am
pm
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Event Type
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Private Meeting
Breakfast/Lunch
Panel/Press Conference/Roundtable
Reception
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Number of Attendees
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Please select all A/V requirements for your event.
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Microphone
Music
Stage
Podium
Event will not require any A/V elements
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Please select all IT requirements for your event.
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WiFi
Printer/Copier
Polycom
TV Monitor (limited availability)
Event will not require any IT elements
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Please select all catering requirements for your event.
✻
Beverage Service Only
Breakfast
Lunch
Hors D'oeuvres
Bar Service
Event will not require any catering
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Please provide any additional logistical information for your requested event.
