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2. First Name*
3. Last Name*
5. Company Name (If Applicable)
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Fax Number
16. Email Address*
18. Preferred Date(s)*
    Preferred Date(s) Start Date

    —

    Preferred Date(s) End Date
20. Optional Date(s)
    Optional Date(s) Start Date

    —

    Optional Date(s) End Date
22. Start / End Time*
    Start / End Time Start Time

    —

    Start / End Time End Time
24. Number of Attendees*
    -- Select One --Less Than 2525 - 5051 - 100101 - 150151 - 200200+
26. Do you need hotel rooms?

    1. Yes
    2. No
28. If yes, how many hotel rooms do you need?
    -- Select One --1010 - 1516 - 20
30. How would you like the room set up?

    1. Banquet
    2. Classroom Style
    3. Conference
    4. Hollow Square
    5. Reception
    6. Theatre
    7. U-Shape
32. What meal or break items will you need?

    1. Breakfast Buffet
    2. Breakfast Plated
    3. Break - Morning
    4. Break - Afternoon
    5. Lunch Buffet
    6. Lunch Plated
    7. Hors d' Oeuvres
    8. Dinner Buffet
    9. Dinner Plated
34. If you are having a dinner would you like the bar open?

    1. Yes
    2. No
36. What audio visual equipment will you need?

    1. Easel
    2. Flip Chart with Markers
    3. Microphone Corded
    4. Microphone Cordless
    5. Microphone Lavalier
    6. Podium Standing
    7. Podium Table Top
    8. Projector LCD
    9. Screen 70"
    10. Screen 150"
    11. Staging
    12. TV 32" Flat Screen
    13. White Board with Markers
    14. White Board / Screen Large
38. Any other information that we should consider when putting together a proposal for you?
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