Organization Information
|
| * Legal Name of Organization: |
|
| * Mission/nature of Organization: |
|
| * Organization's Mailing Address: |
|
| Web Address (URL): |
|
|
Contact Information
|
| * Primary Contact: |
|
| * Day Phone: |
Fax: |
| * Email: |
|
| |
| Secondary Contact: |
|
| Day Phone: |
Fax: |
| Email: |
|
|
Tax Information
|
| * Tax Status: |
|
| * Is this organization DC tax exempt?: |
Yes No |
| DC Tax Exemption # (only if org. is DC tax exempt): |
|
|
Conference Information
|
| * Conference Will Begin: |
|
| * Conference Will End: |
|
| * Is this conference co-sponsored by an on-campus organization?: |
Yes No |
| * Total Number of Participants |
|
| * Number of Commuters |
|
| * Number of Residents |
|
| * Purpose for Visit: |
|
How did you hear about
conference services at CUA?: |
|
|
Meeting Facilities
|
| * Please describe the meeting facilities your conference will require. Be sure to include the type(s) of room(s)/facility(ies), the date(s) & time(s) each room/facility will be used, and the number of people each room/facility must accommodate. Feel free to include any additional comments. |
|
|
Other Equipment & Audio-Visual Requirements
|
| Please describe the AV and other equipment your conference will require. Be sure to include the type(s) of equipment and the date(s) & time(s) each piece of equipment will be needed. Feel free to include any additional comments. |
|
|
Housing Accommodations
(Available during summer months only. Inquire for available dates.)
|
| * Will your conference require housing accommodations?: |
Yes No |
| If you answer "yes," the below fields marked with a blue asterisk (*) are required. |
|
|
|
Dining Services
|
| * Will your conference require dining services?: |
Yes No |
| If you answer "yes," the below fields marked with a blue asterisk (*) are required. |
|
|
|
|