1) Contact information  
First Name 
Last Name  
Email 
Company
Address 1
Address 2  
City 
State/Province
Zip/Postal Code
Country
Phone
Fax
2) General meeting information  
Meeting Name
Total Attendees
Arrival Date
Alt. Arrival Date
Depart. Date
Alt. Depart. Date
3) Sleeping room requirements  
Please enter the maximum number of each type of room you will need. Enter 0 if you need none of a particular type of room.
 

Single (King)

Double (2 Beds)

Suite

4) Meeting room needs  

Do you need a general session meeting room?

Yes

No

# of People

Start Date

End Date

Setup Type

 

Do you need any breakout rooms?

Yes

No

 # of Rooms

Start Date

End Date

Avg. # of People

Setup Type

Describe any special needs for these meeting rooms.

5) Audio Visual Needs  

Check any equipment that you will need in the general session room.

 Flip Chart  Overhead Projector  Screen
 35mm Slide Projector  LCD Projector  Video Projector
 Audio Taping  Video Taping  Rear Screen Projection

Check any equipment that you will need in the breakout rooms.

 Flip Chart  Overhead Projector  Screen
 35mm Slide Projector  LCD Projector  Video Projector
  Audio Taping  Video Taping  Rear Screen Projection
6) Food and beverage details  

Check all F&B functions that may apply.

 Breakfast  Lunch  Dinner
 AM Coffee Break  PM Coffee Break  Reception

Is there any other information you'd like to provide about your F&B functions?

7) Additional Comments