Interest Group Food & Beverage Request Form Δ Request Submission Deadline: August 12Please complete this form to request catering services for your interest group event at the annual NCA convention. This request must be submitted after your Business Meeting submission form has been approved and scheduled in the Planner/Chair Module (Convention Central).Point of Contact InformationPrimary Contact Name(Required) First Last Organization/Institution(Required)Primary Contact Title/Position(Required)Phone(Required)Email(Required) Event Details Interest Group Name(Required)Activism and Social Justice DivisionAfrican American Communication and Culture DivisionAfrican Communication DivisionAmerican Studies DivisionApplied Communication DivisionArgumentation and Forensics DivisionAsian/Pacific American CaucusAsian/Pacific American Communication Studies DivisionBasic Course DivisionBlack CaucusCaribbean Communication CaucusCaucus on Gay, Lesbian, Bisexual, Transgender, and Queer ConcernsCommunication and Aging DivisionCommunication and Law DivisionCommunication and Military DivisionCommunication and Social Cognition DivisionCommunication and Sport DivisionCommunication and the Future DivisionCommunication Anxiety and Apprehension DivisionCommunication as Social Construction DivisionCommunication Assessment DivisionCommunication Centers SectionCommunication Ethics DivisionCommunity College SectionCritical and Cultural Studies DivisionDeath and Dying DivisionDisability Issues CaucusEconomics, Communication, and Society DivisionElementary and Secondary Education SectionEmeritus/Retired Members SectionEnvironmental Communication DivisionEthnography DivisionExperiential Learning in Communication DivisionFamily Communication DivisionFeminist and Gender Studies DivisionFreedom of Expression DivisionGame Studies DivisionGay, Lesbian, Bisexual, Transgender, and Queer Communication Studies DivisionGroup Communication DivisionHealth Communication DivisionHuman Communication and Technology DivisionIndigenous CaucusInstructional Development DivisionInternational and Intercultural Communication DivisionInterpersonal Communication DivisionLa Raza CaucusLanguage and Social Interaction DivisionLatino/Latina Communication Studies DivisionMass Communication DivisionMaster's Education SectionNCA Inclusion, Diversity, Equity, and Access CouncilNCA Mentorship and Leadership CouncilNCA National OfficeNCA Publications CouncilNCA Research CouncilNCA Teaching and Learning CouncilNonverbal Communication DivisionOrganizational Communication DivisionPeace and Conflict Communication DivisionPerformance Studies DivisionPhilosophy of Communication, Theory, and Critique DivisionPolitical Communication DivisionPublic Address DivisionPublic Dialogue and Deliberation DivisionPublic Relations DivisionRhetorical and Communication Theory DivisionSouth West Asian/North African, Middle East CaucusSpiritual Communication DivisionStudent SectionTheatre, Film and New Multi-Media DivisionTraining and Development DivisionUndergraduate College and University SectionVisual Communication DivisionWomen of Color SectionWomen's CaucusEvent Title(Required)as listed in online programDate(Required) MM slash DD slash YYYY Start Time(Required) Hours : Minutes AM PM AM/PM Note: Reception Start Time Restrictions: Thursday: No earlier than 8:30 PM | Friday & Saturday: No earlier than 7:00 PM | Wednesday: No receptions permittedEnd Time(Required) Hours : Minutes AM PM AM/PM Event Location(Required)as listed in online programEstimated Attendance(Required)Event Type(Required)Business MeetingReception/Social HourPresentation/Educational SessionAwards CeremonyOther (Please Specify)Business Meeting Submission Form Confirmation NumberIf you selected "Other" please specify hereBudget Information Allocated NCA Budget Amount (if known)Estimated F&B Budget Needed(Required)Catering Requirements Food Service(Required) None Continental Breakfast Breakfast Buffet Light Refreshments (AM/PM Break/Snacks) Lunch Service Reception/Hors d’oeuvres Desserts Other (Please Specify) Check all that applyBeverages(Required) Coffee/Tea Service Sodas Bottled Water Cash Bar Service Hosted Bar Service Other (Please Specify) Check all that applyPreferred Service Style (if applicable) Buffet Stationed Passed Plated No Preference Special Dietary Accommodations Needed?(Required) Vegetarian Options Vegan Options Gluten-Free Options Other (Please Specify) None Needed Check all that applyAdditional Information Any Special Requests or Additional Event Details?(Required)Agreement(Required) I understand that NCA staff will verify our budget amount and follow up with a recommended order tailored to our event needs