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Group Request Form
Required fields are Labeled in
red
.
1)
Contact information
First Name
Last Name
E-mail Address
Company Name
Address 1
Address 2
City
State/Province
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
Puerto Rico
RI
SC
SD
TN
TX
U.S. Virgin Islands
UT
VA
VT
WA
WI
WV
WY
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip/Postal Code
Country
United States
(Undefined)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Congo, Democratic Republic
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Guiana
Gabon
Gambia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bassau
Guyana
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyz Republic
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Margarita
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia, Federated States
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Northern Mariana Islands
Norway
Off Line Test
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Georgia
Reunion Island
Romania
Russian Federation
Rwanda
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia & Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Barthelemy
St. Eustatius, NA
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin/St. Maarten
St. Pierre and Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti & French Polynesia
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Tortola, BVI
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Gorda, BVI
Yemen
Yugoslavia
Zambia
Zimbabwe
Phone
Fax
2)
General meeting information
Meeting Name
Total Attendees
Arrival Date
Alt. Arrival Date
Departure Date
Alt. Departure Date
3)
Sleeping room requirements
Please enter the maximum number of each type of room you will need. Before sending the RFP, you will be given the opportunity to adjust the number of each type of room needed for each night. Enter 0 if you need none of a particular type of room.
1 Bedroom
2 Bedroom
3 Bedroom
Max Number
4)
Meeting room needs
Do you need a general session meeting room?
Yes
No
# of People
Start Date
End Date
Setup Type
Theater
Rounds
U Shape
Hollow Square
Reception
See Comments
Do you need any breakout rooms?
Yes
No
# of Rooms
Start Date
End Date
Avg. # of People
Setup Type
Theater
Rounds
U Shape
Hollow Square
Reception
See Comments
Describe any special needs for these meeting rooms.
5)
Audio Visual Needs
Check any equipment that you will need in the
general session
room.
Multi Media Projector
Overhead Projector
Screen
Amplification/Microphone
Wireless Internet
Flip Chart
Check any equipment that you will need in the
breakout
rooms.
Multi Media Projector
Overhead Projector
Screen
Amplification/Microphone
Wireless Internet
Flip Chart
Describe any special Audio Visual needs you may have.
6)
Food and beverage details
Check all F&B functions that may apply. Before sending the RFP, you will be given the opportunity to remove functions from specific days.
Breakfast
AM Coffee Break
Lunch
PM Coffee Break
Dinner
Reception
Is there any other information you'd like to provide about your F&B functions?
7)
Additional Comments
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Group Request Form
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