GENERAL INFORMATION

Name of Event

Organization

Contact First Name*

Contact Last Name*

Your Email

Street Address

Day Phone Number

Fax Number

RFP Information Required by the below date:

Site Selection by the below date:

EVENT DETAILS

Event Start Date

Event End Date

Preferred Arrival Date

Preferred Departure Date

Alternate Arrival Date

Alternate Departure Date

Number of Attendees

# of Attendees/largest Meal

SESSION/EXHIBIT SPACE

Break Out Session
None12

# of Attendees/Session

# of Sessions

# of Concurrent Sessions

Exhibit Space
None12

# of Booths Required

# of Table Tops

OTHER INFORMATION

Frequency of This Event
None12

If Other, Please State

Other Sites Being Considered

Other Notes/Special Requests