Florida Event Request Form (ERF)

Florida Event Request Form (ERF)

FOR INTERNAL USE ONLY

This form is to be completed for live events.
Information is required 10 days prior to event.

Agency Name*

Agency Rep*

Select or enter value

Type of Training*

Select

Course Name*

Presenter*

Select

Event Date*

Event Start Time*

Number of Attendees*

Venue Name and Address*

Primary Contact Name for Day of Event*

Primary Contact Phone Number for Day of Event*

Is the Rep Attending?*

Select

Event Setup: Will there be a projection screen or TV monitor?*

Select

If projector, will a projector be provided?

If TV monitor, what type of cables are needed for connection?

Additional Notes or Comments

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