CIS AM27 Ancillary Meeting Request Form
Submit your request for an ancillary meeting, including contact and event details, below.
Organization Name
*
Primary Contact Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Meeting Function Name
*
Meeting Purpose
*
A brief description of the meeting.
Date(s) and Time(s) Requested
*
Approximate Number of Attendees
*
Is food and beverage required?
*
Yes
No
Is audiovisual required?
*
Yes
No
Preferred Room Set
*
Please Select
Theatre Style
Classroom
Round Table
U-Shape
Hollow Square
Reception
Other
Do you want your event listed in the agenda and on the CIS Mobile App?
*
Please Select
Yes
No
Submit Request
Should be Empty: