Home | Meeting Services | Registration Services | Logistics Services | Contacts | Safety Compliant Hotels | Preferred Hotels

Request Meeting Services Fields indicated with RED are required

CMS Sponsor Information

First Name: Last Name: Title:     Address: City: State: Zip: Phone: Fax: Email:   CMS Meeting Information Meeting Title: Meeting Type: Training PPAC,APC,EMTALA Other City: Meeting Payment: Government CC Invitee w/GTR Invitee personal CC Master Bill Meeting Location: Off Site At Hotel Est. Attendees: Start Date: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2005 2006 2007 2008 2009 2010 2011 2012 2013 2012 2013 2014 2015 2016 2017 2018 2019 2020 End Date: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2005 2006 2007 2008 2009 2010 2011 2012 2013 2012 2013 2014 2015 2016 2017 2018 2019 2020         Est. Early Arrivals: Website Deadline for Attendee Reservations Sleeping Room Requirements Meeting Room Requirements Start Time Finish Time Day One General Session Breakout Day Two General Session Breakout Day Three General Session Breakout Day Four General Session Breakout Meeting room setup Board room Classroom U Shape Theater     Additional Meeting Space Requirement       Audio Services Requested     Name of Hotel Requested     Food & Beverage Requirements  Day 1         Breakfast  Continental Full American Not Required Other   AM Break  Coffee Tea Water Other Not required Lunch  Buffet Plated Other Not Required   PM Break  Soda Snacks Coffee Break Other Not required Dinner  Buffet Plated Other Not Required        Day 2         Breakfast  Continental Full American Not Required Other   AM Break  Coffee Tea Water Other Not required Lunch  Buffet Plated Other Not Required   PM Break  Soda Snacks Coffee Break Other Not required Dinner  Buffet Plated Other Not Required        Day 3         Breakfast  Continental Full American Not Required Other   AM Break  Coffee Tea Water Other Not required Lunch  Buffet Plated Other Not Required   PM Break  Soda Snacks Coffee Break Other Not required Dinner  Buffet Plated Other Not Required        Day 4         Breakfast  Continental Full American Not Required Other   AM Break  Coffee Tea Water Other Not required Lunch  Buffet Plated Other Not Required   PM Break  Soda Snacks Coffee Break Other Not required Dinner  Buffet Plated Other Not Required       Additional Food & Beverage Requirements Ground Transportation Requirements Please Check all that apply Not Required Airport Arrival Event Transfers   Airport Departure VIP Other   Omega Onsite Staff Requested? Yes No