Internal Event Request Form

Event Request Form

Please Note: CIAB Charges $150 to each outside event to cover CIAB staff cost.

Name*
Prefix Your first name… Your last name…
Job Title*
Company*
Affiliation*
Office Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Event Details
Date of Event
MM slash DD slash YYYY
Time

: Hour

Minute

AM/PM
Duration
Number of Attendees
Total Budget
Room Request
Room Layout Preference
See photos below.
AV Preferences
Microphone, Projector, Teleconference , Web conference, HDTV, etc.
Decoration Preferences
Flowers, centerpieces, etc.:
Display Sign
(“The Council Welcomes…”)
Food/ Beverage Request
Meals Needed
- Breakfast
- Lunch
- Dinner
- Snack
- Hors D’oeuvres
- Other
Meal Details
Times to be served, preferred vendors, etc.
Food Preference:
Please indicate what would you like to see on the menu.
Food allergies/ Vegetarians?
Beverage Request
Full bar, beer and wine, soda, juice, coffee, etc.:
Additional Comments