Contact Information:

*Name:

*Surname:

*Contact number:

Alternative contact number:

*Email address:

Company name:

Event name:

Event Information:

*Do you need a meeting/event room? YesNo

Start Date:

End Date:

Are dates Flexible? YesNo

No of attendees

Event typeSelect:ConferenceCocktailDay Conference PackageDinnerExhibitionMeetingProduct LaunchStage ShowWeddingYear End FunctionOther

Venue LayoutSelect:BoardroomBanquet roundsCinemaCocktailSchoolroomU-shape

Breakaway rooms required YesNo

How many?

Equipment Required Data projector/ScreenFlipchartEaselAudio SystemOther

Dinner required? YesNo

Special Requests

Accommodation Information:

*Do you need rooms for your delegates? YesNo

Check-in date

Check-out Date

Are dates flexible? YesNo

Number of Rooms

Number of delegates per roomSelect:12