2009 ESRI Federal User Conference - Meeting Request Form

2009 ESRI Federal User Conference (FedUC)

Meeting Request Form

The request deadline is January 9, 2009. If you submit a request after January 9, 2009, your meeting will not be published in the conference agenda.

Note: All contact information must be supplied in order to submit this request. User Group Meetings are for noncommercial purposes.

Please make sure your form is filled out completely to avoid processing delays.

(R) = Required

REQUESTOR INFORMATION

(R) What type of meeting is being requested?

What day and time do you prefer?

(Separate request required per day)

Thursday	(Thursday for ESRI Staff Meeting only.)
Friday

(R) Published title of meeting

(Please enter the title in the way you would like it published in the printed agenda.)

(R) Do you wish to have this meeting published in the agenda?

Yes (All published information is subject to ESRI approval.)
No

(R) Requestor name

(R) Requestor company or organization

(R) Mailing address of company or organization

(R) City

(R) Country

(R) State or province

(R) ZIP or postal code

(R) Telephone and extension

Fax

(R) E-mail

(R) Description and purpose of meeting

Is there a meeting moderator?

Yes. If yes, please specify their name and e-mail below:

Name
E-mail

(R) How many attendees do you expect?

Do you plan to offer food and/or beverage?

Yes
No

Who will be paying for this?

Rooms are set up theater-style and include:

1 screen
1 video projector

Do you have any special needs for your meeting?
If you require special room set-up or additional AV, please describe.

There will be a charge for additional AV requested.