Account Information
First Name
Last Name
Title
Company
Address 1
Address 2
City
State
--None--
**
AB
AK
AL
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
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MD
ME
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MO
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PA
PE
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Zip
Country
--None--
USA
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Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
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Bouvet Island
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French Polynesia
Gabon
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Georgia
Germany
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Virgin Islands (U.S.)
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Western Sahara
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Zaire
Zambia
Zimbabwe
Phone
Fax
Email
Web Site
Meeting Profile
Meeting Name
Are these dates flexible?
Yes No
If yes, is arrival/departure pattern flexible?
Yes No
Who is the decision maker for this meeting
--None--
Primary Contact
Committee
Board of Directors
CEO
Meeting Management Co
Other
If other, please explain
Number of attendees
Where will your attendees by traveling from
--None--
Local
State
Southeast Region
North America
International
Does your event require overnight sleeping rooms?
Yes No
Have you ever held this event before?
Yes No
Largest Meeting Setup
--None--
Banquet Rounds
Reception
Theatre
Classroom/Schoolroom
U-shape
Hollow Square
Chevron/Herringbone
Other
If other, please explain:
For how many people?
How many concurrent breakout rooms will be used?
For how many people each breakout room (e.g. 2 brebreakouts – 50 people each classroom style).
How many on-site food and beverage functions?
Largest Meal Period
--None--
Breakfast
Lunch
Dinner
Reception
Largest Meal Function's Number of Attendees
Preferred Location(s) for Meeting Facility
Will your meeting or convention have any exhibits?
Yes No
Meeting History
Enter up to four years of meeting history. Begin with the most recent event. Past numbers should be actual pickup.
City
State/Province
Country
Name of Headquarters Hotel
Was this hotel your convention/meeting center?
Yes No
Total Number of Attendees
Peak Room Night Pickup
Average Room Rate
--None--
Under $50
$51 - $75
$76 - $100
$101 - $150
$151 - $200
$201 - $250
Over $250
Meeting History - 2nd Record
City
State/Province
Country
Name of Headquarters Hotel
Was this hotel your convention/meeting center?
Yes No
Total Number of Attendees
Peak Room Night Pickup
Average Room Rate
--None--
Under $50
$51 - $75
$76 - $100
$101 - $150
$151 - $200
$201 - $250
Over $250
Meeting History - 3rd Record
City
State/Province
Country
Name of Headquarters Hotel
Was this hotel your convention/meeting center?
Yes No
Total Number of Attendees
Peak Room Night Pickup
Average Room Rate
--None--
Under $50
$51 - $75
$76 - $100
$101 - $150
$151 - $200
$201 - $250
Over $250
Meeting History - 4th Record
City
State/Province
Country
Name of Headquarters Hotel
Was this hotel your convention/meeting center?
Yes No
Total Number of Attendees
Peak Room Night Pickup
Average Room Rate
--None--
Under $50
$51 - $75
$76 - $100
$101 - $150
$151 - $200
$201 - $250
Over $250
Future Meetings
Enter up to two planned meetings
City
State/Province
Country
Name of Headquarters Hotel
Was this hotel your convention/meeting center?
Yes No
Total Number of Attendees
Peak Room Night Pickup
Average Room Rate
--None--
Under $50
$51 - $75
$76 - $100
$101 - $150
$151 - $200
$201 - $250
Over $250
Future Meetings - 2nd Record
City
State/Province
Country
Name of Headquarters Hotel
Was this hotel your convention/meeting center?
Yes No
Total Number of Attendees
Peak Room Night Pickup
Average Room Rate
--None--
Under $50
$51 - $75
$76 - $100
$101 - $150
$151 - $200
$201 - $250
Over $250