CPA Center Event Order Form

Group Name
On-Site Contact Name
Mailing Address*
Expected Attendance
Phone Number*
Fax Number
Event Date
Start Time
End Time
Email Address*

Set Up Requirements
Meeting Room A
Meeting Room B
Meeting Room C
Meeting Room D
U-Shaped Meeting Room
Hollow Square Meeting Room
Classroom-Style Meeting Room
Boardroom-Style Meeting Room
Is a registration table needed?

Audio/Visual Needs
Is a standing lectern required?
Is a table top lectern required?
Do you need a flip chart (w/ markers)?
Do you need a whiteboard (w/ markers)?
Do you need an easel?
Do you need phone line access?
Do you need a wireless Lavalier microphone?
Do you need an overhead projecter and screen?
Do you need an LCD projector?
Do you need a portable screen?
Do you need a TV and VCR (VHS)?
Do you need a Carousel Slide Projector?
Do you need a conference speakerphone?
Other

Food and Beverage Requirements
Can you guarantee attendance?
If so, how many will be attending?
All Day Beverage Service
Half-Day Beverage Service
Breakfast
Breakfast Start Time
Breakfast End Time
Breakfast Menu
Lunch
Lunch Start Time
Lunch End Time
Lunch Menu
Snack Break
Snack Break Start Time
Snack Break End Time
Snack Menu
I agree to the terms below