Conference Planning WorksheetContact InformationEvent TitleContact Name
TitleCompany/OrganizationAddressCity, State, ZipPhone

FaxE-mailEvent Description (will be used for online registration page, if applicable)Dates and SizeGroup Size (including staff)Preferred DatesWill there be any early arrivals or late departures?
Group HistoryPlease provide us with information concerning past events:DateVenue

CityStateWhat was last year’s budget for this event?
Can you supply the agenda for last year’s event?
Please list any additional contacts we may consult about prior events:Conference	  &	  Event	  Management	  	  110	  South	  Fort	  Douglas	  Blvd.	  	  (801)	  587-­‐2980	
  	  Fax:	  (801)	  587-­‐2990	  	  Salt	  Lake	  City,	  UT	  	  84113	  Number in attendance	  Lodging☐ Hotel AccommodationsCheck-in dateCheck-out date☐ Residence HallsNumber of rooms/bedsPayment Method:☐ Direct billType of accommodationReservation Method:☐ Individual reservation☐ Rooming listMeeting SpaceGeneral SessionDate/Day

TimeRoom setup (e.g., classroom,theater, conference, etc.)Number ofpeopleAudio-visualrequirementsMeal (e.g., cont.
breakfast, break)Number ofpeopleAudio-visualrequirementsMeal (e.g., cont.
breakfast, break)Breakout RoomsDate/Day

TimeRoom setup (e.g., classroom,theater, conference, etc.)Conference	  &	  Event	  Management	
  	  110	  South	  Fort	  Douglas	  Blvd.	  	  (801)	  587-­‐2980	
  	  Fax:	  (801)	  587-­‐2990	  	  Salt	  Lake	  City,	  UT	  	  84113	  	  Exhibit SpaceDate/Day

TimeRoom setup (e.g., 6’ tables orpipe and drape)Number ofexhibitorsFood and BeverageUniversity Residence Hall Dining Facility Meals☐ Breakfast☐ LunchAudio-visualrequirementsElectricity/Internetneeds☐ DinnerCatered MealsDate/Day

TimeMeal (e.g., breakfast,lunch, dinner)Number ofguestsAlcoholicbeveragesSpeaker(s)Audio-visual needsPlease list any dietary restrictions your group may have:__________________________________________________________________________________________________________________________________________________________________________________Event Registration☐ Registration FeeooEarly: _________ by ____________Late: __________ by ____________☐ Refund policy☐ Data to collect, e.g. tee-shirt sizes, special questions☐ Confirmation letter to registered attendeesSpecial Events☐ Ski/Golf outing☐ Ropes course/teambuildingConference	  &	  Event	  Management	
  	  110	  South	  Fort	  Douglas	  Blvd.	  	  (801)	  587-­‐2980	
  	  Fax:	  (801)	  587-­‐2990	  	  Salt	  Lake	  City,	  UT	  	  84113	  	  ☐ Recreational Sports Center☐ Transportation services☐ Community events and tours☐ Other (please describe) ________________________________________Event Presenters
NameHonorariaTravelLodgingEvent Marketing☐ Save the date☐ Brochure☐ Registration form☐ Web site☐ Call for papers☐ Targeted mailing lists☐ PhotographyOther Event Considerations☐ Promotional items (shirts, bags, name badge holders)☐ Supplies (office supplies, presenter materials)☐ Gifts for presenters and volunteers☐ Handouts for attendees☐ Course materials, textbooks, programs☐ Directional signage☐ Etc:Conference	  &	  Event	  Management	
  	  110	  South	  Fort	  Douglas	  Blvd.	  	  (801)	  587-­‐2980	
  	  Fax:	  (801)	  587-­‐2990	  	  Salt	  Lake	  City,	  UT	  	  84113	  Per DiemAudio-visualneeds