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CONTACT INFORMATION
Full Name:
*
Phone Number:
*
Email Address:
*
Title:
*
Department:
*
EVENT INFORMATION
Start Date:
*
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End Date:
*
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Name of Event/Conference:
*
I WILL BE NEEDING ASSISTANCE WITH:
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Hotel Rooms
Conference Space
HOTEL INFORMATION
Check-in dates for hotel rooms:
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Check-out dates for hotel rooms:
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Hotel rooms needed per day:
King:
Double/Double:
Other:
If other, please provide room type preference:
Ideal guest room rate:
How will payment be handled?
CONFERENCE INFORMATION
Start date for conference space:
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End date for conference space:
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Size of space required:
Number of people:
A/V needs:
F&B needs:
Any special needs/requests:
Budget:
What is the setup requirement? (i.e. theatre, classroom, rounds, etc):
OTHER PREFERENCES
Is this a one-time conference, annual event or otherwise?
What is most important to you in the hotel?
Do you have a hotel(s) in mind that you would like to ensure we source?
If you've planned this event in the past, where have you contracted?
Why did you select that property?
What didn't work well?
What worked well at that property?
Anything else we should know?