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State of Maryland
Meeting Request Form
CONTACT INFORMATION
Department
:
Contact:
Title:
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone Number:
Fax:
E-Mail:
EVENT INFORMATION
Event Name :
Event Description :
Pattern:
--
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
to
--
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Scheduling Flexibility:
Fixed dates
Flexible dates, fixed pattern
Flexible dates and/or pattern
Preferred Start Date:
--
January
February
March
April
May
June
July
August
September
October
November
December
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
2004
2005
2006
2007
2008
2009
2010
MEETING DETAILS
Expected Attendance:
Is this a one-time-only event or a recurring event?
one-time-only
recurring event
If recurring, did Globetrotter plan the last event?
Yes
No
Describe what factors are most important in deciding where to host your event:
Anticipated Decision Date:
--
January
February
March
April
May
June
July
August
September
October
November
December
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
2004
2005
2006
2007
2008
2009
2010
Who will be involved in the decision?
Preferred method of contact:
E-mail
Phone
Fax
Estimated number of rooms needed:
Single
Double
Suite
Staff
Day 1:
Day 2:
Day 3:
Day 4:
Day 5:
Day 6:
Day 7:
Target Room Rate:
$
/night
Room Block Comments:
Meeting Space Needs:
Day
Function Name
# of
People
Room Size
(sq. feet)
Layout
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
<<select>>
General Session
Breakout
Breakfast
Lunch
Dinner
Reception
Break
<<select>>
Theater
Banquet
Reception
Classroom
U-Shaped
Conference
Modular Breakouts
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
<<select>>
General Session
Breakout
Breakfast
Lunch
Dinner
Reception
Break
<<select>>
Theater
Banquet
Reception
Classroom
U-Shaped
Conference
Modular Breakouts
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
<<select>>
General Session
Breakout
Breakfast
Lunch
Dinner
Reception
Break
<<select>>
Theater
Banquet
Reception
Classroom
U-Shaped
Conference
Modular Breakouts
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
<<select>>
General Session
Breakout
Breakfast
Lunch
Dinner
Reception
Break
<<select>>
Theater
Banquet
Reception
Classroom
U-Shaped
Conference
Modular Breakouts
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
<<select>>
General Session
Breakout
Breakfast
Lunch
Dinner
Reception
Break
<<select>>
Theater
Banquet
Reception
Classroom
U-Shaped
Conference
Modular Breakouts
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
<<select>>
General Session
Breakout
Breakfast
Lunch
Dinner
Reception
Break
<<select>>
Theater
Banquet
Reception
Classroom
U-Shaped
Conference
Modular Breakouts
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
<<select>>
General Session
Breakout
Breakfast
Lunch
Dinner
Reception
Break
<<select>>
Theater
Banquet
Reception
Classroom
U-Shaped
Conference
Modular Breakouts
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
<<select>>
General Session
Breakout
Breakfast
Lunch
Dinner
Reception
Break
<<select>>
Theater
Banquet
Reception
Classroom
U-Shaped
Conference
Modular Breakouts
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
<<select>>
General Session
Breakout
Breakfast
Lunch
Dinner
Reception
Break
<<select>>
Theater
Banquet
Reception
Classroom
U-Shaped
Conference
Modular Breakouts
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
<<select>>
General Session
Breakout
Breakfast
Lunch
Dinner
Reception
Break
<<select>>
Theater
Banquet
Reception
Classroom
U-Shaped
Conference
Modular Breakouts
Do You Need Exhibit Space?
Yes
No
Additional Function & Exhibit Space Comments:
Food and Beverage Needs:
Audiovisual Needs:
Group Transportation Needs:
Additional Comments:
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here
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