Meeting Request Form (For Internal Globus Employee Use Only) EVENT DETAILSDate Request Submitted*Select Today’s Date MM slash DD slash YYYY Meeting Requested By*Enter Name First Last Name of Meeting* Department* Account Code*Enter Department Account Code Event Start Date*Select Event Start Date MM slash DD slash YYYY Event End Date*Select Event End Date MM slash DD slash YYYY Event Location* City State / Province / Region Preferred Venue Location (Please list your top three preferred venue options in order of preference)Enter Venue Option #1* Enter Venue Option #2* Enter Venue Option #3* Total Anticipated Attendees (Please outline your total anticipated attendees for each category listed)Surgeons*Sales* GMED* Please attach your attendee list to this request Attached Pending Point of Contact On-Site First Last MEETING SPECIFICATIONSPlease attach your drafted meeting agenda*Agenda must be on file with Meetings prior to sourcing venue locations Attached Pending Sleeping Rooms*Please identify the number of sleeping rooms (singles and doubles) required for each night of this eventMeeting Space*(Please identify all anticipated meeting space requirements throughout the entire event) General Session Office/Storage Space Meal Room (if you require separate space from General Session) Breakout Room(s) If needed, please identify quantity of breakout rooms Meeting Room Set*(Please select your preferred room set up) Crescent Rounds Classroom Style U-Shape Existing Set-Up Meeting taking place at Corporate Food & Beverage (Please select your F&B needs) Note: The Meeting Coordinator will make final selections to ensure compliance guidelines are met.Daytime Meeting Needs Breakfast Lunch Breaks All day beverage station (Coffee, Tea, Water, Soda) Evening/Reception Needs Hors d’oeuvres (Heavy) Food Stations Buffet House Beer & Wine Audio/Visual(Please select your AV needs) Please plan to bring your own laptop for presentation needs. Projector, Screen, Connection Capabilities Wireless Slide Advancer Speakers (Do you require sound capabilities? Will this event require a Wi-Fi connection?* Yes No TRAVEL REQUIREMENTS All necessary travel for employees will be booked by the individual via Concur. Your Meeting Coordinator will work with you directly on establishing arrival and departure times for your event. This information should be communicated to all anticipated attendees prior to any travel booking. Should your meeting include surgeon(s) your Meeting Coordinator will be responsible for managing their travel needs. GROUND TRANSPORTATION (Please identify any pre-arranged ground transfers your meeting requires)Meetings taking place externally: From Airport to Hotel/Venue Location From Hotel/Venue Location to Airport Meetings taking place at Globus From Hotel to Globus From Globus to Hotel or Airport GROUP DINNER (Off-Site)Do you plan to host a group dinner off-site? Yes No Date MM slash DD slash YYYY Time Number of Attendees Preferred Location Transportation To/From Yes No TEAM BUILDING ACTIVITYDo you plan to host a team building activity? Yes No Please provide a brief description of your desired team building activity:Date MM slash DD slash YYYY Time Number of Attendees Preferred Location Transportation To/From Yes No ADDITIONAL COMMENTSAdditional CommentsPlease share any additional thoughts regarding your request with the Meetings TeamIMPORTANT INFORMATIONCompliance/Spending Limits Policy In order to comply with the Globus Medical & AdvaMed Policy – all meals provided to healthcare professionals must be limited to the below spending limits: Amounts listed below are caps on the total spend, including tax and tip. Lunch: $50.00/person Dinner: $125.00/person ($150.00/person for the 10 cities listed below) Chicago, Dallas, Houston, Las Vegas, Los Angeles, Miami, New York, San Diego, San Francisco, Washington D.C. Restaurant Contracts/BEOs: Only members of the Meetings Team are permitted to sign contracts for event space and BEOs (Banquet Event Orders) confirming Food & Beverage requirements. The Meeting Coordinator/Planner is the only person authorized to charge anything to the master account. If any changes need to be made while the group is on-site and you are not able to get in touch with your Meeting Planner, it is the responsibility of the on-site contact to provide payment for those changes. Please confirm you have read and understand all of the policies and event guidelines listed above.* Yes, I have read and understand No, I have not read the information listed above Please confirm you have Vice President/Executive approval of this event on file. Meetings will not be authorized to move forward with an event request that did not receive the proper approvals.* Yes, I have the necessary approval on file. No, I do not have approval on file. ATTACH FILESAttach Attendee ListMax. file size: 50 MB.Attach Meeting AgendaMax. file size: 50 MB.