Meeting Planning Inquiry:

Group & Meeting Department

Phone (440) 734-8800, Ext 4068

Fax: (440) 734-4528

MEETING PLANNING QUESTIONNAIRE

General Information:

 To assist us in arranging for your meeting requirements, please provide the following information:

Contact:* Today's Date:
Group Leader: # of Attendees:*
Company:
Division:
Address:
 
City, State, Zip:  
Telephone:*

Fax:

Meeting Name:*  
Destination:*
Arrival Date:*

Departure Date:*

* Indicates a required field

Check each that apply:

Air      Hotel     Rental Car     Meeting Arrangements     Transfers

Airline Form of Payment:

Corporate Credit Card  Attendee's Credit Card
Credit Card Number:
Name on Card:
Expiration Date:

Hotel Form of Payment:

Corporate Credit Card  Attendee's Credit Card  Direct Bill
Credit Card Number:
Name on Card:
Expiration Date:

Meeting Arrangements Form of Payment:

Corporate Credit Card  Attendee's Credit Card  Direct Bill
Credit Card Number:
Name on Card:
Expiration Date:

Meeting Room Set-Up and Audio Visual:

Meeting Room Requirements:    
Date: # of People: Times:
Date: # of People: Times:
Date: # of People: Times:
Date: # of People: Times:
Date: # of People: Times:
Date: # of People: Times:
Date: # of People: Times:

Additional Requirements:

Meeting Room Requirements:    
Podium  Legal Pads  Head Table 
Registration Table  Flip Chart  Easel 
24 Hour Hold  Microphone   
  Other:  

Audio / Visual:

Meeting Room Requirements:    
35MM Slide Projector  Screen  Overhead Projector 
VCR with Color Monitor  Laptop / Computer Projector  DVD with Color Monitor 
  Other:  

Meals & Breaks

Continental Breakfast:

Date of Function: Number of People:
Time of Service: Inside/Outside of Room: Inside Room Outside Room
Meal selection:  

Comments: 

Morning Break:

Date of Function: Number of People:
Time of Service: Inside/Outside of Room: Inside Room Outside Room
Meal selection:  

Comments: 

Lunch:

Date of Function: Number of People:
Time of Service: Inside/Outside of Room: Inside Room Outside Room
Meal selection:  

Comments: 

Afternoon Break:

Date of Function: Number of People:
Time of Service: Inside/Outside of Room: Inside Room Outside Room
Meal selection:  

Comments: 

PM Break:

Date of Function: Number of People:
Time of Service: Inside/Outside of Room: Inside Room Outside Room
Meal selection:  

Comments: 

Dinner:

Date of Function: Number of People:
Time of Service: Inside/Outside of Room: Inside Outside Room
Meal selection:  

Comments: