Conference Request Form

Thank you for considering LBNL Conference Services.

To continue with your conference request, please complete and submit the form below to the best of your knowledge. We understand that all details are not available at the time of site selection! In most cases, we will be in touch within 24 hours.

* = Required Field

Your Information

* First Name	* Last Name
* Division	* Mailstop
* Email	* Phone
* Fax		I wish to receive informational materials.

General Event Information

* Name of Conference/Meeting/Event

* Proposed Dates		Alternate Dates
Time of Event		Event Duration

Total Estimated Attendance		No. of Commuters
No. of Double Rooms		No. of Single Rooms

Food Requirements

Will you require coffee breaks?		Yes No
Will you require breakfasts?		Yes No
Will you require lunches?		Yes No
Will you require dinners?		Yes No

Please provide any special/private dining event information:

Meeting Space Requirements

Go HERE for examples of each set-up style, then make your selection below.

Please explain any audio/visual equipment needs:

Other

Comments: