Conference attendance and supply request Conference/Event Information Name Event Name Date of Conference/Event Date and time Cell Number Email Address SEG Name If other SEG Number of Attendees SEG name options UPMANAPSOther Ship Supplies to: Attention Hotel/Conference Name (if applicable) Street Address City State ZIP Code Additional Information Send Supplies by (mm/dd/yyyy) Date and time Prove you're not a robot. Key in or enter your answer in the textbox. five + three = Please give us at least 3 weeks’ notice for processing and shipping.