| * required fields |
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| Contact Details |
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| * Are you an Agency? | |
| If Yes, indicate the Agency Name: | |
| * Are you a Company? | |
| If Yes, indicate the Company Name: | |
| Industry Sector: | |
| General Information |
| Organisation for which you organise the event: | |
| Meeting Name: | |
| Which type of event do you want to organise? | |
| If Other, please specify: | |
| * Preferred Arrival Date: | dd/mm/yyyy |
| * Preferred Departure Date: | dd/mm/yyyy |
| Are these dates flexible? | |
| If Yes, indicate alternatives you may be interested in: |
| Arrival Date: |
dd/mm/yyyy |
| Departure Date: | dd/mm/yyyy |
| OR | |
| Arrival Date: |
dd/mm/yyyy |
| Departure Date: | dd/mm/yyyy |
| * Number of Participants: | |
| * Do you need Guest rooms? | |
| * Do you need Meeting rooms? | |
| If Yes to Guest rooms |
| Accommodation Information |
| Number of rooms per day: |
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| If Yes to Meeting rooms |
| Event Information |
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| Audio-Visual Needs: |
LCD Projector
Flipchart / WhiteBoard
Overhead Projector
Screen
Microphone
Rear Screen Projection
High Speed Internet
Wireless Internet Access
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| Event Brief: | |
| Budget |
| * Approximate Budget: | |
| Additional Request: | |
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