Event Inquiry Form

A great deal goes into the planning and organization of a successful event. The Hostos Conference Center is here to help you coordinate the location, equipment, talent, and logistical support to have an outstanding event. Please fill out the form below and a Conference Center Facilitator will contact you.

Contact Person:

Address Line 1: Street address, P.O. box, c/o

Address Line 2: Apartment, suite, unit, floor

City:

State: Select Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

 

Telephone Number:

E-mail Address:

Name of Requesting Organization:

Name of Event:

Start Time CalendarNow(UTC - 05:00)

End Time CalendarNow(UTC - 05:00)

Click Calendar to select start/end date and time

Alternative Dates:

Nature of the Event:

Expected number of attendees:

 Brief description of event:

List any expected speakers, discussants, performers, VIPs:

Possible venue set up:

Parking Needs (up to 2 spaces):

Select 0 1 2

 

Vendors involved in the event?:

Select Yes No

Audio/Visual needs: Ex. Podium, Microphone, Speakers, etc.

Will catering and/or alcohol be served at this event?:

Select Yes No

 

Have you been in contact with a Conference Center Facilitator?:

Select Yes No

If you have been in contact with a Facilitator, please provide his/her name:

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