Note: Fields marked with * are required.

Conference Planning Request
Please provide the following information regarding your request.

   
Title Mrs Mr
First/Given Name *
Last/Family Name *
E-Mail *
Organization Name *
Address 1*
Address 2
City *
Province
Country*
Zip/Postal Code *
Phone*
Fax *
What is the best way to contact you? (Check all that apply) Phone Fax E-mail


Event Information
Please provide some event information.

Event Name
When will your hotel decision be made?
Are the dates flexible? Yes No
What are the alternate dates?
What other cities and hotels are under consideration?
What are the key factors that will affect your decision? (Location, Hotel Type, Rates)
Where/When has this event been held previously?


Meeting Space Requirements
Please provide detailed requirements for your meeting.

Date # Attendance
General
Session		 Time of
General
Session		 # Breakout
Sessions		 Max
Attendance per
Breakout		 Time of
Breakout
Session
Arrival Day
Other Days
Departure Day


General Session Setup:
Breakout Session Setup:
Other meeting space requirements (audio/visual):


Room Requirements
Please provide detailed requirements for the number of rooms required.

Date Number of single rooms Number of double rooms Number of suites
Arrival Day
Other Days
Departure Day


What is your budget per room per night?
Other room requirements:


Food Requirements
Please check the appropriate boxes for your food requirements for each day.

Date Breakfast Lunch Dinner A.M. Break P.M. Break Other/Reception
Arrival Day
Other Days
Departure Day


Other requirements: