Required fields are marked with *
A    Contact Information
First Name* :
Surname * :
E-mail * :
Company * :
Address * :
City * :
Post Code* :
Country * :
Phone * :
Fax :
Mobile Phone:

B    General Information
Arrival date* :		Alt. Arrival Date:
Departure Date* :		Alt. Departure Date:
Meeting Name:
Total Attendees * :

C    Room Requirements
Please enter the maximum number of bedrooms you will need. If you need none of a particular type of room please leave field empty. No. of Rooms*
Single :	Superior Double :	Exec. Double :
Junior Suite :	Suite:

D    Meeting Rooms
General Session Meeting Room:
No. of People:
From :
To :
Set up:

Classroom :		Boardroom:
U-Shape :		Theatre :
Dining :
No. of Breakout Rooms:
Comments :

E    Audio Visual Equipment Please tick any equipment that you will need in your general session room:
LCD Projector		Overhead Projector
Screen		Flipchart
Data projector / Beamer		35mm Slide Projector
TV & Video		Video Camera role play system
White board		Display board set
Conference Telephone		PA System including 1 microphone
Single block staging		Lectern and reading light
Other – please specify
F    Food & Beverage
Breakfast		AM Coffee Break
Lunch in the meeting room		Lunch in the restaurant
PM Coffee Break		Dinner
Gala Dinner		Smoothies & Fruit Juices
Champagne Reception on Terrace
Other – Please specify

G    Special Features

Boat Trips on the River with Catering

Beauty Treatments

French Wine Tasting

Theatre Trips

Cocktail Training