Meeting Request- Meeting Protocol

Please go here for a virtual meeting

Fields marked are required
Unless noted, all dates are in mm/dd/yyyy format. For example, today is 06/17/2018

Client Details:

First Name

Last Name

Office Phone

Company

Your Title

Has MPW organized meetings for you in the past?

Meeting Information:

Meeting Dates:

Preferred Meeting Dates.

Are these dates flexible?

Is this meeting part of a series?

Are you teaming up with a congress?

Have you checked congress calendars to avoid attendance conflict?

Have you confirmed the availability of key meeting attendees for your preferred meeting dates?

Demographics

Total number of sites:

Number of Participants per Site:

Total Number From Sponsor:

Total Number From CRO:

Total Number From Other Vendors:

How many participants will be driving to the meeting?

Please list the participating countries:

Class of Travel for Long-Haul Flyers (if applicable):

If you already have a demographics document, you can upload it here (max 5MB)

Meeting Details:

Indicate Type of Meeting, e.g., Investigator, Advisory Board, Study Coordinator, etc.:

Therapeutic Area:

Preferred meeting locations

Do you have a budget range? Please indicate currency, e.g., USD, GBP, Euro, etc.:

Total Meeting Budget:

Please explain any compliance guidelines or hotel restrictions (eg., hotel rating, location, etc.) if applicable:

Please explain any compliance guidelines or limits on food and beverage spend if applicable:

Speaker Rehearsal

Will you need Speaker Rehearsal

How would you like the room set up?

List Days, Dates, and Times of Speaker Rehearsal

How many people are attending Speaker Rehearsal

Internet access is required

CRA Training

Will you need CRA Training

How would you like the room set up?

List Days, Dates, and Times of CRA Training

How many people are attending CRA Training

Internet access is required

General Session

How would you like the room set up?

List Days, Dates, and Times of General Session

How many people are attending General Session

Internet access is required

Breakout

Will you need Breakout

How many rooms will you need?

How would you like the room set up?

List Days, Dates, and Times of each Breakout

How many people are attending each Breakout

Internet access is required

Coordinator Training

Will you need Coordinator Training

How would you like the room set up?

List Days, Dates, and Times of Coordinator Training

How many people are attending Coordinator Training

Internet access is required

If you already have an agenda document, you can upload it here (max 5MB)

Special Requests

If you have any question, or need assistance with this form, please contact Brian Bingham by phone at +1 972 590 3103 or email at brian.bingham@meetingprotocol.com.