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Program Request

Please complete the following information regarding your program. A member of Meeting Trends will contact you to discuss your program in further detail. We look forward to the possibility of working with you!

*ORANGE INDICATES REQUIRED FIELDS

Contact Information
First Name:
Last Name:
Address 1:
Address 2:
City:
State, Zip:
Company:
Email:
Telephone:
Is this a:	MeetingIncentiveOther, please describe

Program Information
Name of program (i.e. sales meeting):
Purpose of program:
Preferred dates:
Preferred destinations:
Preferred property, if applicable:
Number of qualifiers/attendees:
Number of guests, if applicable:
Budget:	per person total

Indicate which of the following services you are interested in:

Destination research and site selection

Airline reservations

Hotel

Food and beverage

Meeting space

Audio-visual

Tours, entertainment, optional activities, spouse programs

Promotional campaign/marketing materials

Please provide us with historical information regarding this program
(i.e. frequency of program, previous destinations and properties used, etc)