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Contact Information
* = Required
First Name
*
Last Name
*
Company
*
Title
Address
*
Address 2
City
*
State
*
Zip Code
*
Country
Email
*
Website
Phone #
*
Fax #
Basic Information
Meetings Per Year
N/A
1-5
6-10
11-20
21-50
51-100
101-150
151-200
200+
Meeting Name
*
Org / Company
*
Response Due
*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
Decision Date
*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
Number of Attendees
Meeting Requirements
(daily meeting space needs, set-up, F&B, etc)
Attach Meeting Specs
Must be a Word document or PDF (.doc, .docx, .pdf)
Decision-Making Process
Self
Committee / Board
Other
Date Information
Preferred Dates
*
Arrival
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
Departure
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
Alternative Dates
Arrival
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
Departure
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
Alternative Dates
Arrival
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
Departure
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
Meeting Patterns
-
Sun
Mon
Tue
Wed
Thu
Fri
Sat
to
-
Sun
Mon
Tue
Wed
Thu
Fri
Sat
or any
-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
day(s)
Date Comments
Room Information
Rooms Per Night
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Date
Rooms
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Date
Rooms
Total Rooms
Total Room Nights
Please note requested hotel room rate range, if applicable.
Govt. Per Diem
Under $100
$100 - $150
$151 - $200
$201 - $250
$251 - $300
$301 - $350
$350+
Event / Meeting Information
Group Activities, check all that apply.
Art / Cultural Tours
Day Trips
Golf Tournament
Recreational Activities
Speaker / Entertainment
Team Building
Would you like to receive information from our members on these group activities?
Yes
No
Other Requirements, check all that apply.
24-hour Room Service
Airport Shuttle
Business Center
Fitness Center
Golf On or Near Property
Handicap Accessible
High-speed Internet Access
In-room Dataports
Kitchenettes
Kosher Kitchen
Restaurant on Property
Shuttle to Shopping/Restaurant
Spa on Property
TDD
Additional Info
(special or commissionable rates, specific needs, etc)
Special Instructions
History
Year
Property
City
Will you be doing a site inspection?
Yes
No
If yes, when?
How did you hear about us?
Copyright © 2009. San Angelo Chamber of Commerce Convention & Visitors Bureau. All rights reserved.
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