1. Your Contact Information
Salutation
Please choose
Dr.
Master
Miss
Mr.
Mrs.
Ms.
Prof.
First Name
Last Name
Email Address
Company Name
Address
City
Postcode
Country
Please choose
Ireland
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Argentina
Armenia
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 (People's
Republic)
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
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
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
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Georgia
Reunion Island
Romania
Russian Federation
Rwanda
Saba, Netherlands
Antilles
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
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Gorda, BVI
Yemen
Yugoslavia
Zambia
Zimbabwe
Phone
Fax
2. General Meeting Information
Meeting Name
Total Attendees
Meeting Type
Please choose
Event
Meeting/Dinner
Meeting/Lunch & Dinner
Meeting Lunch
Breakfast Meeting
Interview
Private Dinner
Private Lunch
Residential Conference
Meeting Duration
Full Day
Half Day
Morning
Afternoon
Evening
Arrival Date
Departure Date
Alt. Arrival Date
Alt. Departure Date
Are your dates flexible?
Yes
No
Additional Comments
3. Bedroom Requirements
Please tick this box if you do not require sleeping rooms
for this meeting
Rooms Needed
4. Meeting Room Requirements
Please tick this box if you do not require a main meeting
room
No of People
Start Date
End Date
Room Setup
Please choose
Boardroom
Cabaret
Classroom
Reception
Theatre
U-Shape
Round Tables
Please tick this box if you do not require any syndicate rooms
No of Syndicate Rooms
Start Date
End Date
Avg. No of People
Setup Type
Please choose
Boardroom
Cabaret
Classroom
Reception
Theatre
U-Shape
Round Tables
Describe any special needs for these meeting
rooms, such as audio-visual requirements, or click boxes below.
Flipchart
Data Projector
Screen
Microphone
Whiteboard
ISDN
5. Food and Beverage Requirements
Please select the Food and Beverage requirements
from the list below
Is there any other information you'd like to
provide about your Food and Beverage functions?
6. Additional Comments