SIR 2023 Hotel Meeting Function Space Request 

DEADLINE: Friday, February 3, 2023 

Company/ Contact Information

 Company Name 

 Company Division/Business Unit (enter "N/A" if not applicable)

Address 1

Address 2

City

State

Please select... International Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico US Virgin Islands Guam Northern Mariana Islands American Samoa Palau

Zip Code

Country

Contact First Name 

Contact Last Name

Email

Direct Phone

Cell Phone

Function Name/Purpose 

Name of Function

Purpose of Function 

Function Date/Time/Attendance 

If you require more than one date for your function, please select below:

Saturday, March 4, 2023Sunday, March 5, 2023Monday, March 6, 2023Tuesday, March 7, 2023Wednesday, March 8, 2023Thursday, March 9, 2023

Start Time

End Time

Expected Attendance Number 

Function Type

Select one:

Meeting BreakfastLunch Dinner ReceptionOther (please specify below)

Other (please specify): 

Preferred venue

Please indicate your first, second and third choice among the hotel location options.

First Choice 

Sheraton Phoenix Downtown (Headquarters)Hyatt Regency Phoenix Renaissance Phoenix Downtown Westin Phoenix DowntownHampton Inn & Suites Hilton Garden Inn Phoenix Downtown 

Second Choice 

Sheraton Phoenix Downtown (Headquarters)Hyatt Regency Phoenix Renaissance Phoenix Downtown Westin Phoenix DowntownHampton Inn & Suites Hilton Garden Inn Phoenix Downtown 

Third Choice 

Sheraton Phoenix Downtown (Headquarters)Hyatt Regency PhoenixRenaissance Phoenix DowntownWestin Phoenix Downtown Hampton Inn & Suites Hilton Garden Inn Phoenix Downtown 

Set Up Requirements

Select your setup

Conference Style Cocktail Rounds U-Shaped Hollow Square Classroom TheaterRounds

Authorization 

As a representative of the above named company, I confirm that I am authorized to make commitments on its behalf.

Authorize signature

Date

Please allow 24-48 business hours for approval of your request.

You will be contacted by email by Noor Elshaer at nelshaer@sirweb.org or (703) 460-5563. She will provide you with your hotel space assignment and the hotel representative contact information so that you may work directly with the hotel for all your meeting space needs.

Society of Interventional Radiology

www.sirweb.org

www.sirmeeting.org