Company/Organization __________________________________________________________

Primary Contact _______________________________________________________________
                 [ ] Event Coordinator       [ ] Exhibitor      [ ] Meeting Planner       [ ] Other ______________

Phone _______________________________ Cell Phone ___________________________

Email ________________________________ Web Site ____________________________

Event Date(s): _________________________________________________________________

Event Type (Check All That Apply):
[ ] Conference            [ ] Trade Show              [ ] Convention                 [ ] Seminar
 
[ ] Computer Based Training                           [ ] Other __________________________________

Attendees: High Estimate ____________________ Low Estimate ____________________

Number of: Presenters: ___________ Exhibitors: ___________ Special Guests: ___________

Venue Preferences:

City: 1st Choice ____________________________ 2nd Choice _________________________

      [ ] Convention Center [ ] Hotel: Room Nights: ______ [ ] Other ______________________

General Session (s) Attendance ____________ Breakout Session(s) Attendance ____________

Internet Café: Size _____________________ Other: _________________________________

Equipment Needs: (Please indicate quantity needed)

_____ Projectors _____ Screens _____ Podiums _____ Signage Easels _____ Flip Charts _____

White Boards _____ Plasma Flat Screens _____ Video Cameras _____ Computers _____

Printers _____ Copiers _____ Computer Kiosks _____ Speakers/Amps _____

Mics – Wired _____ Mics – Wireless

Food & Beverage Needs: (Please Indicate Number of Days / Attendees)

Breakfast: Days ______________________ No. of Attendees ____________________

Morning Break: Days ______________________ No. of Attendees ____________________

Lunch: Days ______________________ No. of Attendees ____________________

Afternoon Break: Days ______________________ No. of Attendees ____________________

Dinner: Days ______________________ No. of Attendees ____________________

Budget:   [ ] $100k - $250k      [ ] $50k - $100k      [ ] $25k - $50k      [ ] $10k - $25k     [ ] $3k - $10k