Cisco Regional Event Order Form

Requestor Name

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Requestor Email

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Phone Number

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Regional Area

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PMM Name

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Partner

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Meeting Name

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Shipping Information

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In-hand Due Date

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Meeting Date

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Return Date

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Special Instructions

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Expected Meeting Attendance

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Do you want giveaways?

Yes
No

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USB Ring Cable:

Magnetic Clips:

Calculator:

Quantity of giveaways?

You may request up to 100 giveaways.

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I would like a booth

Booth 1
Booth 2

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I would like a pop-up banner

Whale Banner
Blue Banner

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Specify number of table throws needed

You may request up to two table throws.

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