PERSONAL INFORMATION
Name:
E-mail Address:
Address:
City:
State: Zip:
Phone Number:

EVENT INFORMATION
1. How many people are you expecting?
2. How many hotel rooms will you be using?
3. What is the date of your convention/meeting or reunion?
4. What is the age group of the participants? 20-30 30-40 40-50 50-60 Over 60
5. Do you need help in planning your convention/meeting or reunion? YES NO (If NO, go to question 11)
7. If yes--do you need a bid proposal submitted to someone(please tell us their name and address)

8. Do you need help contacting and securing space with hotels? YES NO
9. Do you need help with spouse tours? YES NO
10. Do you need activities at night? YES NO
11. Would you like a packet of info sent to you to assist in your planning? YES NO