Docstoc

2010 ANNUAL MEETING ROOM REQUEST FORM

Document Sample
2010 ANNUAL MEETING ROOM REQUEST FORM Powered By Docstoc
					                2011 ANNUAL MEETING                                       APHA OFFICE USE ONLY
                                                                                                      RelOrg Mtg RequestForm 11


                ROOM REQUEST FORM                                         In-House Number: _____________

                                                                          Hotel: ____________________ Room: ________________

EARLY DEADLINE: April 15, 2011                                            Date Received: ______________ No. Rec’d: ___________
FINAL DEADLINE: Aug. 12, 2011
Please type or print neatly:
Day                          Date:                                           Time From:                    Time To:
(Day and time requested is not guaranteed, you will be contacted if the time slot is not available.)
Primary Sponsor:
Event Title:
Estimated attendance (Be as accurate as possible):
Planning Chairperson
Name:
Telephone:                                                                E-mail:

TYPE OF MEETING: Check all that apply

    PRIVATE function*: Please do not list in program – event will not be listed on the APHA Website or in the program
             Breakfast            Lunch           Dinner        Reception            Other                 Not Food Function

    Business Meeting*: Set Conference Style for 25 – MAX
             Breakfast            Lunch                Dinner                Other                Not Food Function

    Business Meeting*: Set Theater Style for number of persons indicated above
             Breakfast            Lunch                Dinner                Other                Not Food Function

    Social Hour/ Social Event*:
             Breakfast            Lunch           Dinner        Reception            Other                 Not Food Function

*Sponsor responsible for all planning and costs

         APHA will place you in contact with the catering or banquet manager in July 2011 for all food functions.

ROOM SET-UP AND EQUIPMENT
 “Special” room set-ups may be available, by advance request only. Special room sets may require additional fees.
 APHA has the right to leave AV equipment, podiums and head tables in rooms during Related Organization events.
 Related Organizations will incur additional charges for equipment added on site.

    Reception Style (available for social hours) – Head Table                  Yes    No
    Theater Style (available for business meetings larger than 25. Head table for 6 will be provided)
    Roundtables : Number of tables required for food function:
    Conference Style (no more than 25 persons, larger will be placed in theater style set)
    Lighted Lectern
   Wheelchair or Mobility Accessibility Needed for speakers. Notes:


*Bill to (will be billed to the primary sponsor contact person on the application unless otherwise noted here
Name:
Address:

Phone:                                                          E-mail:

				
DOCUMENT INFO