SCDAA 47th Annual Convention Meeting Room Request Form

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* 1. Organization

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* 2. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 3. Function

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* 4. Number of Attendees

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* 5. Purpose or Objective of the Meeting

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* 6. 1st Choice Time and Date

Date / Time

Date

Time

AM/PM

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* 7. 2nd Choice Time and Date

Date / Time

Date

Time

AM/PM

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* 8. 3rd Choice Time and Date

Date / Time

Date

Time

AM/PM

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* 9. Preferred Room Set-Up (room set-up cannot be guaranteed) Note: projector, screen and multiple power outlets are included at no cost.

Board Room

Theater

Classroom

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* 10. Additional Audio/Vidoe Required?

Yes

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* 11. Food and Beverage Required?

Yes

SCDAA 47th Annual Convention Meeting Room Request Form

Question Title

* 1. Organization

Question Title

* 2. Contact Information

Question Title

* 3. Function

Question Title

* 4. Number of Attendees

Question Title

* 5. Purpose or Objective of the Meeting

Question Title

* 6. 1st Choice Time and Date

Question Title

* 7. 2nd Choice Time and Date

Question Title

* 8. 3rd Choice Time and Date

Question Title

* 9. Preferred Room Set-Up (room set-up cannot be guaranteed) Note: projector, screen and multiple power outlets are included at no cost.

Question Title

* 10. Additional Audio/Vidoe Required?

Question Title

* 11. Food and Beverage Required?

Question Title

* 12. Other Comments/Requests