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Organization/Company Name:
Meeting Name:
Contact First Name:
Contact Last Name:
Title:
Address:
City:
State:
Zip/Postal Code:
Phone:
Fax:
E-Mail:
Meeting Dates & Times
Preferred Meeting Date:
Times
Undecided
Alternate Date:
Times
Description of Event
Total Attendance:
Undecided
I am interested in the services of a local meeting planner ("Destination Management Company") to help with aspects of this event.
Hotel Room Requirements
Sun.(date)
No. Rooms
Mon.(date)
No. Rooms
Tues.(date)
No. Rooms
Weds.(date)
No. Rooms
Thurs.(date)
No. Rooms
Fri.(date)
No. Rooms
Sat.(date)
No. Rooms
Alternate Dates Hotel Room Requirements
Sun.(date)
No. Rooms
Mon.(date)
No. Rooms
Tues.(date)
No. Rooms
Weds.(date)
No. Rooms
Thurs.(date)
No. Rooms
Fri.(date)
No. Rooms
Sat.(date)
No. Rooms
Space Requirements
General Session (approx. sq. ft.)
No. of General Session Attendees
No. of Booths
No. 8x10
No. 10x10
No. of Breakout Rooms
Other
Exhibits
Food & Beverage
History of Event
Month/Year
Property
City
Month/Year
Property
City
Month/Year
Property
City
Proposal Due Date:
Undecided
Decision Date:
Undecided
Decision Making Process
Self
Committee/Board
Other
Hotel Room Prices
(Please check all that apply)
Gov't Per Diem
$201-$250
Under $100
$251-$300
$101-$150
$301-$350+
$151-$200
Negotiable/Undecided
Site Inspection
Yes If Yes, When?
No
Undecided
Special Notes
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