State of Wisconsin s6

STATE OF WISCONSIN Department of Administration DOA-3131 (R11/96) SPECIFICATIONS FOR ACCOMMODATIONS / CONFERENCE FACILITIES

Conferenc e Name

Sponsorin g Agency

Coordinat Telephone or Name ( ) Conferenc Location e Dates / Days

Anticipate Overnight Day only TOTAL d number of attendees

MEETIN G ROOMS

GENERAL ASSEMBLY ROOM FOR ALL ATTENDEES

Chevron Speaker table with podium and microphone

Theater Twelve foot high ceiling

Conferenc Other e - tables with chairs on ONE side

Tables with chairs on two sides

SMALL People GROUP MEETING ROOMS FOR

Chevron Tables with chairs on two sides

Theater Other

Conferenc e - tables with chairs on ONE side

SIGNAG E REQUIR EMENT S

Exterior facility

Interior facility EQUIPM ENT

Overhead projector Slide projector Portable sound system

Flip chart Podium Floor Table top Computer #______(type) _

Screen Pens and Microphon paper e (type)

Screen Water Other with light pitcher and glasses Head All tables table Chalk board

LODGING

Number of Night one Night two Night single three rooms needed

Number of Night one Night two Night double three rooms needed

Rooms will be reserved until (date) Room Each Sponsoring agency reservatio attendee ns will be made by

Room P.M. or are guaranteed for late arrival by each attendee’s major credit card reservatio ns will be held until

Preassign Yes No ed rooms are required

List of attendee reservations will be provided to sponsoring agency by (date) Payment Each attendee (WI sales tax does not apply; local tax may apply) for rooms will be made by

Sponsoring agency SPECIFICATIONS FOR ACCOMMODATIONS / CONFERENCE FACILITIES DOA-3131 page 2 of 2

PARKING (Vehicle parking must be available)

Adjacent to the conference facility

Within three minutes of the conference facility

Parking fees Free

$ Per 24 hours $ Per hour

FOOD and BEVERAGE (Specify menu)

Service Buffet Table DAY ONE - NUMBER OF ATTENDEES

Breakfast

Break A.M.

Break P.M.

Dinner

DAY TWO - NUMBER OF ATTENDEES

Breakfast

Break A.M.

Break P.M.

Dinner

DAY THREE - NUMBER OF ATTENDEES

Breakfast

Break A.M.

Break P.M.

Dinner

OTHER CONFERENCE NEEDS This document can be made available in accessible formats to qualified individuals with disabilities.