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Page 1: Meeting Request Form

HelmsBriscoe Meeting Request

Melinda Douglas 561.880.0427 / Fax 561.423.6441 / [email protected]

Organization: _______________________________________________________________ Name of Event: _______________________________________________________________ Location Preferred: _______________________________________________________________ Preferred Hotel Brand: _______________________________________________________________ Dates Preferred: _______________________________________________________________ Alternate Dates: _______________________________________________________________ # of Attendees: __________________ Total # of Sleeping Rooms: __________________ # Single Occupancy: __________________ # Double Occupancy: __________________ Room Rate Desired: __________________ Decision date for hotel choice: __________________

Please check events needed and place approximate number of attendees (#) and approximate times by each event. These do not need to be final numbers – they are just to allow the hotel to see if they can meet your needs during the search process.

Sunday: # of Attendees Additional Info Needed Begin-End Time(s) ___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________

Monday: # of Attendees Additional Info Needed Begin-End Time(s)

___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________

Tuesday: # of Attendees Additional Info Needed Begin-End Time(s) ___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________

Page 2: Meeting Request Form

Thank You Very Much, I Look Forward to Making Your Event the Best Ever!

Wednesday: # of Attendees Additional Info Needed Begin-End Time(s) ___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________

Thursday: # of Attendees Additional Info Needed Begin-End Time(s)

___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________

Friday: # of Attendees Additional Info Needed Begin-End Time(s)

___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________

Saturday: # of Attendees Additional Info Needed Begin-End Time(s)

___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________

Please Note Any Special Requests: