* Contact:
Title:
Organization Name:
* Address:
* City:
* State, Zip:
Country:
* E-mail:
* Daytime Phone: (ie: 555-555-5555)
Fax:
Meeting Information
* By what date would you like to receive proposals?
* Meeting Name:
Meeting Length:
Meeting Pattern:
Desired Meeting Dates
First Choice
* Starting Date:
* Ending Date:
Second Choice
Starting Date:
Ending Date:
* Number of attendees:
Hotel Rooms Needed
Requested hotel room rate range if applicable:
Meeting Rooms
General Sessions:
Exhibit Hall:
Ballroom:
Number of Break-out rooms:
Number of attendees in each room:
Meeting room set-up style:
- Select One -
Conference
U-shaped
Banquet
Theater
Classroom
Hollow
Any additional meeting requirements?
Food and Beverage
Please describe the daily Food & Beverage requirements for this event, i.e. meals, breaks, receptions, BBQ's:
General Information
Are you interested in visiting Council Bluffs for a site visit?
Describe your group:
Please provide information regarding decision making process, i.e. date, who is involved in the process and when you plan to make a decision:
Meeting History:
Special Requirements:
Additional Comments and/or Questions:
Total Budget (if available)
