*Branch Name
(Please select) Amsterdam Arizona Atlanta Barbados Barrie/Simcoe Beijing, China Belgium Bermuda Boston Brockville Calgary California North - San Francisco California South - Los Angeles Chile Cobourg/Northumberland Columbus, Ohio Copenhagen Denver Durham Edmonton Florida - Central Florida - Southern Fort McMurray France Germany Guelph Halifax/Dartmouth Honduras Hong Kong Houston Iowa Kingston London, Ontario London, UK Malaysia Markham Minnesota Montreal Morocco Muskoka New York City New Zealand Niagara North Bay North Carolina North Halton Oakville/Mississauga Ottawa Pakistan Peace Country Perth, Australia Peterborough Portland, Oregon Prince Edward Island Quinte Region Regina San Diego Scotland Seattle Seoul, South Korea Shanghai, China Singapore St. John's Sudbury Suriname Switzerland Sydney, Australia Taiwan Tasmania Thompson-Okanagan Thunder Bay Tokyo, Japan Toronto Trinidad Turks & Caicos Islands Twin Cities, MN United Arab Emirates Vancouver Victoria Washington, DC Windsor Winnipeg

*Event Name

Event Description

*Event Date

*Event Coordinator Name

*Event Coordinator Phone

*Event Coordinator Email

*Event Start Time

*Event End Time

*Event Location & Address

Event Additional Information

Supplies from Alumni Relations Required

*Speaker
(Please select) No Yes

Speaker Name

Speaker Position

Speaker Degrees & Year

Speaker Bio

Speaker Bio File

Presentation Title

Brief Description Obtained from Speaker

Speaker Description Upload

*Registration Required through Alumni Relations
(Please select) No Yes

*Event Cost Per Person (Type N/A for Not Applicable)

Cost Includes

*Payment Options
Visa
Master Card
Amex
Interac(Only available in Canada)
door
Cheque
Not Applicable

RSVP Date & Time

*Cancellation Policy (Type N/A for Not Applicable)

*Expected Attendance (Type N/A for Not Applicable)

*Maximum Number of Guests (Type N/A for Not Applicable)

*Waitlist Required
(Please select) No Yes

Event Related Question Message Options

Mail Your Cheque to Alumni Relations (Please change address if different)
Alumni Relations, Branches Summerhill Queens University Kingston, Ontario, K7L 3N6

Room Rental	$
Food and Beverage	$
Audio/Visual	$
Marketing/Promotion	$
Decorations	$
Additional Costs	$
	Total Expenses	$
	Total Revenue	$
	Expected Profit	$

Budget Upload