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Contact Name:*
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Title:
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Company Name:*
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UBN:
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Department / Unit:
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E-mail:* |
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Contact TEL:*
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(Area code - Telephone number - Extension)
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Contact FAX:
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(Area code - Telephone number - Extension)
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Mobile :
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Company Address:*
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Conference / Event Format
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Event Name:
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Estimated Participants:
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Persons
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Main Conference Room Requirements:
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(If other conference rooms will be hired please specify in the Comments section)
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Planned Event Date:
(First Preference)
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Until
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Planned Event Time Slot:
(First Preference)
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Alternative Date:
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Until
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Alternative Time Slot:
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Comments:
(No more than 150 words)
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