<p>STATE OF WISCONSIN Department of Administration DOA-3131 (R11/96) SPECIFICATIONS FOR ACCOMMODATIONS / CONFERENCE FACILITIES</p><p>Conferenc e Name</p><p>Sponsorin g Agency</p><p>Coordinat Telephone or Name ( ) Conferenc Location e Dates / Days</p><p>Anticipate Overnight Day only TOTAL d number of attendees</p><p>MEETIN G ROOMS</p><p>GENERAL ASSEMBLY ROOM FOR ALL ATTENDEES</p><p>Chevron Speaker table with podium and microphone</p><p>Theater Twelve foot high ceiling</p><p>Conferenc Other e - tables with chairs on ONE side</p><p>Tables with chairs on two sides</p><p>Other</p><p>SMALL People GROUP MEETING ROOMS FOR</p><p>Chevron Tables with chairs on two sides</p><p>Theater Other</p><p>Conferenc e - tables with chairs on ONE side</p><p>SIGNAG E REQUIR EMENT S</p><p>Exterior facility</p><p>Interior facility EQUIPM ENT </p><p>Overhead projector Slide projector Portable sound system</p><p>Flip chart Podium Floor Table top Computer #______(type) _</p><p>Screen Pens and Microphon paper e (type)</p><p>Screen Water Other with light pitcher and glasses Head All tables table Chalk board</p><p>LODGING</p><p>Number of Night one Night two Night single three rooms needed</p><p>Number of Night one Night two Night double three rooms needed</p><p>Rooms will be reserved until (date) Room Each Sponsoring agency reservatio attendee ns will be made by </p><p>Room P.M. or are guaranteed for late arrival by each attendee’s major credit card reservatio ns will be held until </p><p>Preassign Yes No ed rooms are required</p><p>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 </p><p>Sponsoring agency SPECIFICATIONS FOR ACCOMMODATIONS / CONFERENCE FACILITIES DOA-3131 page 2 of 2</p><p>PARKING (Vehicle parking must be available)</p><p>Adjacent to the conference facility</p><p>Within three minutes of the conference facility</p><p>Other</p><p>Parking fees Free</p><p>$ Per 24 hours $ Per hour</p><p>FOOD and BEVERAGE (Specify menu)</p><p>Service Buffet Table DAY ONE - NUMBER OF ATTENDEES</p><p>Breakfast</p><p>Break A.M.</p><p>Lunch</p><p>Break P.M.</p><p>Dinner</p><p>DAY TWO - NUMBER OF ATTENDEES</p><p>Breakfast</p><p>Break A.M.</p><p>Lunch</p><p>Break P.M.</p><p>Dinner</p><p>DAY THREE - NUMBER OF ATTENDEES</p><p>Breakfast</p><p>Break A.M.</p><p>Lunch</p><p>Break P.M.</p><p>Dinner</p><p>OTHER CONFERENCE NEEDS This document can be made available in accessible formats to qualified individuals with disabilities.</p>