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CONTACT INFORMATION

TYPE OF EVENT*

Your Company Name*
Your Name and position* within the company
Company Address* incl. country and city
Postal Code
E-mail address*
Telephone number*

	Conference/Congress
	Corporate Meeting/Presentation
	Incentive Trip
	Team Building Event
	Other please specify below

DESTINATION*

DATES

	Lithuania
	Latvia
	Estonia
	Other please specify below

Dates preferred*
Alternate dates
If no specific date has been set, please indicate preferred month/year/days of week and total number of days

PARTICIPANTS

NUMBER OF HOTEL ROOMS REQUIRED

Number of participants*
Number of accompanying persons
Number of speakers
Other (exhibitors, sponsors, guests, etc.)

Please indicate

Hotel Category	Single	Double	Suite	Other
5 star hotel
4 star hotel
3 star hotel
2 star hotel

If other, please specify
What are the three most important considerations when selecting a hotel for this event?
1)
2)
3)

MEETING SPACE REQUIREMENTS

AUDIO VISUAL EQUIPMENT

Please specify following

	Number of rooms	Capacity and layout	Days/Hours needed
Plenary sessions
Breakout rooms
Exhibition space
Poster session

Please specify audio visual equipment required for your event

CATERING

PRE-EVENT AND OTHER SERVICES

Please check those that apply to your programme. Also include day or date, if known

	Catering needed (please tick appropriate)	Day/date
AM coffee break
PM coffee break
Lunch on site
Lunch off site
Dinner on site
Dinner off site
Social events

Please specify pre-event and other services required for your event: registration, advertising, website, printing materials, gift selection, secretarial service etc

Security code

Note: fields marked with ' * ' are mandatory.

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