Conference Request Form

Please submit one application for each conference you are requesting.

Group/Organization:
Contact Person:
Phone (day):
Phone (evening):
Email Address:
Billing Address:
Attention/Office/Suite:
City, State, and Zip:
FAX:
Arrival Date and Time:
Departure Date and Time:
Is your group or organization affliliated with the University of Missouri-St. Louis? If YES, please provide the Department name:
Number of Participants:
Parking: (please indicate the number of each type of vehicle you anticipate) Standard vehicles includes: cars, trucks, vans (under 15 passengers), and motorcycles	Standard Vehicles 15 Passenger Vans Commercial/Schoobuses
Will your conference guests need to be housed:	YES NO
If YES, please specify number and types of rooms needed:	Single - Male Single - Female Double - Male Double - Female
Linens (Bed sheets and towels):
Requested Meeting Room(s): (Capacity: Small 15-24 people; Medium 25-60 people; Large 60-200 people)
Will you need audiovisual equipment? If Yes, please specify:
Will you need meal service? If Yes, please specify: