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Contact Information

*Title: Select... Dr Mr Mrs Ms Miss Other

*First Name:

*Surname:

Position:

*Organisation:

Organisation Type:

*Address:

*Postcode:

*Tel:

Fax:

*Email:

Event Information

Type of Event: Select... Day Conference / Meeting Residential Conference / Meeting Product Launch Training Social Event Exhibition Interviews Other

*Number of Delegates:

Dates Required:

Are dates felixible, if so, give any alternative dates:

Event Programme (include any timmings):

Preferred Location: Select... Stoke-on-Trent Stafford / Stone Newcastle-under-Lyme Cannock Staffordshire Moorlands Burton-upon-Trent / Uttoxeter Lichfield / Tamworth South Cheshire

Preferred Venue Type: Select... All Hotel / Conference Centre Country House Unusual Venue Academic Venue

Main Conference Room layout: Select... Theatre style Cabaret Boardroom Classroom U-Shape Dinner Other

No. of additional areas / syndicate rooms:

Syndicate room capacities per room:

Additional areas / syndicate room layout: Select... Theatre style Cabaret Boardroom Classroom U-Shape Dinner Other

No. of Rooms:

Exhibiton Space: Select... Yes No

If yes please specify dimensions / size required:

Accommodation

Accomodation - Room Type: Select... None Double Single Twin Mix

Date accommodation required:

No. of nights:

No. of delegates requiring accommodation:

Other information

Equipment Required:

OHP & Screen?

Flipchart?

LCD Projector?

TV & DVD?

PA System / Microphones?

Stage?

Lecturn?

Hearing Loop?

Other equipment:

Catering requirements throught:

Budget £:

Additional information:

Where did you hear about the bureau?

Please send me a copy of the Staffordshire Stoke-on-Trent Conference Guide.

Help us

To help us in reaching our clients in the future, please answer the following questions which will take no more than a minute to complete:

How many events do you arrange each year?

What type of events are they?

Conferences

Exhibitions

Training

Product Launches

Corporate Hospitality

Incentive Travel

No. Delegates:

Have you held an event in Stafforshire before? Select... Yes No

Which venue did you use?

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