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conference request form

Company / agency:*
Responsible person:*
Address:*
Telephone:		Fax:
Email:*		Internet:
Name of the event: *
Starting date: *	mm/dd/yyyy
Ending date: *	mm/dd/yyyy
Responsible / Trainer:
Leisure group Business group
Participants:	persons	Budget per person per day:	− select − 50 € 100 € 150 € 200 € > 200 €
single rooms	double rooms	apartments
Hotel category:	− select − **** ***	Hotel:	- select -
Meal plan:	− select − BB HB FB
Conference - packages:
	Daily
	Semi residential
	Residential
Table & seating-possibilities in Room:
	U-shape
	Boardroom-style
	Classroom-style
	Theatre-style
	Circle of chairs
	Semi-circle of chairs
	Other seating-variation:
F&B requirements:
	Number:	Dates:	Estimated time:
Coffee break:
Lunch
Dinner
Other requests:
* - mandatory items