Zone Meeting Request Form Date Requested* Date Format: MM slash DD slash YYYY Requested By* First Last Event Start Date* Date Format: MM slash DD slash YYYY Event End Date* Date Format: MM slash DD slash YYYY Event Location* City State / Province / Region Total Anticipated Attendees*Preferred Venue Location Please list your top three preferred venue options in order of preference.Venue Option #1*Venue Option #2*Venue Option #3*Preferred Teambuilding Activity/Restaurant Please list your top three preferred activities/locations in order of preference.Venue Option #1*Venue Option #2*Venue Option #3* MEETING SPECIFICATIONSMeeting Agenda Please review and plan to utilize this agenda example: Day 1: 5:00-7:00pm Evening arrivals followed by presentation/dinner or teambuilding activity off-site Day 2: 7:00am–5:00pm (breakfast and lunch on-site) Evening departures after the meeting Room SetPlease select your preferred room set up* Crescent Rounds Classroom Style U-Shape Other (identify): Identify your preferred room set upFood & Beverage Please list your preferred times for the following:Breakfast:Lunch:Snack Break:Do you want all-day beverage service?*YesNo Audio Visual Projector, screen, connection capabilities, and sound will automatically be ordered for this event. Please plan to bring your own laptop for presentation needs. Will this event require a Wi-Fi connection?*YesNoIMPORTANT INFORMATIONRequests must include the following items in order to be reviewed:Agenda*Accepted file types: jpg, pdf, doc, docx, csv, xls, xlsx.Allowed file types: jpg, pdf, doc, docx, csv, xls, xlsx Attendee List (Attendee list should contain a complete list of attendees and indicate attendees needing air travel and attendees needing a hotel room)*Accepted file types: jpg, pdf, doc, docx, csv, xls, xlsx.Allowed file types: jpg, pdf, doc, docx, csv, xls, xlsx 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. 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. Additional CommentsAdditional CommentsPlease share any additional thoughts regarding your request with the Meetings Team.Please confirm you have an agenda and attendee list to submit with this request.*Yes, I have an agenda and attendee list.No, I do not have an agenda and attendee list.Meetings will not move forward with the event until they receive the agenda and attendee list.