Application for Meetings, Conferences & Events
Use the TAB key to move between fields, and click submit to send the request.
   
Name of Meeting, Conference or Event
Sponsoring Organization
Address

Email Address
Phone Number Format 000-000-0000
Fax Number Format 000-000-0000
Conference Organizer Name
Address
Work Phone Format 000-000-0000
Home Phone Format 000-000-0000
Fax Number Format 000-000-0000 
On-Site Contact Name
Phone Number Format 000-000-0000
Purpose of your organization
Do you have a Muhlenberg College sponsor Yes No
If Yes, Name
Purpose of this conference
(please present program brochures or any printed material)
Is your organization Non-Profit Yes No
Source of financial support for the conference
Does your Organization have any political and/or religious affiliation Yes No
If so, please describe
Please provide 1-2 references of host locations for previous conferences:
Name of Institution
Contact Name
Phone Number Format 000-000-0000 
Date/year of last conference hosted at this institution
   
Name of Institution
Contact Name
Phone Number Format 000-000-0000 
Date/year of last conference hosted at this institution
 
Is your group primarily Youth Adult
Number of participants/staff
Number of commuters
Arrival Date
Arrival Time
Departure Date
Departure Time
Date of first meal served
  Breakfast Lunch Dinner
Date of last meal served
  Breakfast Lunch Dinner
Meeting Room Requirements(please specify type & capacity)
Other Special Requirements (Athletic facilities, audio-visual equipment, exhibit facilities, etc...)