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   MEETING INFORMATION REQUEST
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MEETING INFORMATION REQUEST FORM
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   CONTACT INFORMATION
 
Contact Name:
Title:
Company/Organization:
Address:
City:
State:
Zip:
Country:
Daytime Phone:
Fax:
Email:
  (required for email response)
  How do you wish to be contacted?
  Phone         Fax         Email         Mail

   MEETING INFORMATION
 
Meeting Name:
Begin Date:
End Date:
Are your dates flexible?
Yes       No
If yes, enter alternate dates:
Maximum Number of Attendees:
Breakout Rooms Needed?
Yes       No
No. of Breakout Rooms Needed:
General Session Attendee Size:
Catering Needed
Yes       No
Brief Description if Catering Needed:
Will you need Audio Visual Equipment?
Yes       No


 
   GUEST ROOM INFORMATION
   
No. of Singles Needed:
No. of Doubles Needed:
No. of Suites Needed:
Type of Meeting:

(SMERF - School, Military, Educational, Religious or Fraternal Organizations)
Preferred Amenities
(check all that aply):
Beach or Lake
Golf
On-site Restaurant
Resort
Hotel
Pool
Tennis
Fitness Room
Transportation
Team Building
Children's Activities
 
                      

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NAVCOM, Inc., PO Box 4328, Pinehurst, NC 28374   (910) 235-0072
Information contained herein is d
eemed reliable but not guaranteed and is the intellectual property of NAVCOM, Inc.