Breakout Ldr Needs Form Forum Breakouts We are excited to have you with us at Forum on November 19-20 at Southern Hills Baptist Church in Oklahoma City. Please fill out this form as soon as possible so we can make sure to have everything you need in place for your breakout. Name* First Last Organization* Address* Email* Phone*T-Shirt Size* Spouse name (if attending): First Last Please note, your spouse will also need to register and pay for the event at www.skopos.org/forum.Will you need a hotel room?*YesNoIf yes, how many nights will you be needing a hotel room?* Will you be joining us for dinner and the evening session Friday night?*YesNoDo you have any A/V needs?* Projector Audio Podium Table Extension Cord Projector Screen White Board and Dry Erase Markers CD Player DVD Player Internet Access (if available) Notes or Handouts Other None If other A/V need, please list it here: Do you need your room set up a specific way?*Auditorium StyleSmall GroupsOtherI don't need my room set up a specific wayIf you have notes that you would like us to print, please attach them here.Max. file size: 16 MB.Will you be bringing any promotional materials?*Ways our office can pray for you as you prepare?* Forum MenuLocation & Hotels Exhibitors Breakout Ldr Needs Form
