Planner Information

Contact Name

Contact Title

Group Name

Meeting Name

Address 1

Address 2

State

Please Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyomingl

Zip

Phone

Fax

Email

Website

  Meeting Information

Dates Requested

Alternate Dates

Sleeping Room Pattern

Anticipated Attendance

Group/Meeting Profile



 

Meeting History



 

Room Block Information

Date

Sun

Mon

Tues

Wed

Thur

Fri

Sat

Number of Rooms

Room Rate

Choose One Govt. Per Diem $50-99 $100-149 150-199

How will reservations be made?

Choose One Calling Specific Website Hotel Reservation Cards

Is commission needed on rooms

Choose one Yes No

Special concessions requested


 

Space Requirements

Exhibit Space

Meeting Space

Registration Space

Event Information

Tentative Schedule of Events

Food & Beverage Budget

Audio & Visual Budget

 How do you prefer to receive proposals

Choose One Email Bid Book Individual Hotel Packets

Deadline for proposal

Decision Date

Who will sign the contract

Choose One Meeting Planner/Planning Company Meeting Organization

If signed by third party planner, please provide contact information