subject_line
CONTACT INFORMATION
Full Name
*
Phone Number
*
Email Address
*
Title
*
Which university are you associated with?
*
University of Illinois Urbana-Champaign
University of Illinois Chicago
University of Illinois Springfield
University of Illinois System
Department
EVENT INFORMATION
Start Date
*
+
End Date
*
+
Name of Event/Conference
*
Which city/cities are being considered for the event?
*
REQUESTING ASSISTANCE WITH:
*
Hotel Rooms
Conference Space
HOTEL INFORMATION
Check-in dates for hotel rooms
+
Check-out dates for hotel rooms
+
If Rooms Only, where is event taking place that rooms are needed for?
Hotel rooms needed per day:
King:
Double/Double:
Ideal guest room rate:
Who is paying for rooms?
Individual
Room & tax to master
Both
How will reservations be booked?
Individuals book own rooms
Rooming list
CONFERENCE INFORMATION
Start date for conference space
+
End date for conference space
+
Meeting spaces needed per day:
General session:
Breakout:
Number of people for each space required:
General session:
Breakout:
A/V needs:
Food & Beverage: Will you serve meals (breakfast, lunch, dinner)?
Is meal room required to be separate from meeting room/general session?
Yes
No
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 worked well at that property?
What didn't work well?
Anything else we should know?