Name:*

Company:*

Address 1:*

Address 2:

City:*

State:

Zip Code:

Telephone:

Fax:

E-Mail:*

Date
(mm/dd/yy)

Day

Sleeping
Rooms

Meeting
Time

Meeting
Name

No. in
Meeting

Meeting
Setup

Date
(mm/dd/yy)

Day

Sleeping
Rooms

Meeting
Time

Meeting
Name

No. in
Meeting

Setup of
Meeting

Are the dates flexible?

Yes
No

Is the pattern flexible?

Yes
No

How many times per year is the meeting held?

What is the date the decision will be made? (mm/dd/yy)

Rate Range?

Comments: