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Organization Name
Organization Address
Address Line 2 (optional)
City
State or Province
Zip or Postal Code
Country (if other than US) (optional)
Telephone
Fax
Organization web address
Contact Name
Contact Email
Meeting Information Fill out completely. Meeting Name Meeting Dates Number of Attendees Number of meeting rooms needed (optional) Size of largest media room needed Classroom, Theatre, Conference, Rounds, Hollow Square, Other Audio/Visual needs (optional)
Room Flow Indicate Day of Week (Mon, Tue, etc), Date (xx/xx/xx), and number of hotel rooms needed for each day of your meeting:
Meals Indicate number required after each type. Breakfast (optional) Lunch (optional) Dinner (optional) Other - please explain (optional)
Exhibits Indicate number required after each type. 8x10 (optional) 10x10 (optional) Tabletops (optional)
Other Pertinent Information Date proposals are needed Decision date Past meeting sites (month/year, city, hotels(s) used) (optional) Top 3 determining factors Desired guest room rate range Are you a member of MPI, ASAE, PCMA, CalSAE, HSMAI, RCMA, Other How did you hear about us? (optional)
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