CETS Workshop, Institue and Conference Services Request Form

Contact Information
Contact name: *
Telephone: *
Fax:
Email Address: *
Billing Information
Please choose: *  non-GU personnel   GU personnel
Conference/Workshop Title:
On-site Coordinator or Contact Person: *    Same as contact info
Telephone: *
Fax:
Email Address: *
Total Number of Attendees(all days):
Affiliation with Georgetown University: *  Sponsored by GU Dept.
 Co-sponsored by GU Dept.
 Leasing space from GU

Session 1

Day: *
Date: *
Event Start Time: *
Event End Time: *
Event Setup time: *
Building: *
Room: *
Please check any personal devices you intend to use:
 PC laptop
 Mac laptop
 Tablet or Smartphone
 Device(s) require a wireless connection

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