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Planner Information

First Name:	First Name:	First Name:
First Name:

Last Name:	Last Name:	Last Name:
Last Name:

Title:	Title:	Title:
Title:

Company:	Company:	Company:
Company:

Address 1:	Address 1:	Address 1:
Address 1:

Address 2:	Address 2:	Address 2:
Address 2:

City:	City:	City:
City:

State:	State:	State:
State:	--None-- ** ** AL Alabama AK Alaska AB Alberta IR-32 Alborz AZ Arizona AR Arkansas BC British Columbia CA California CO Colorado CT Connecticut DE Delaware DC District of Columbia FL Florida GA Georgia HI Hawaii ID Idaho IL Illinois IN Indiana IA Iowa KS Kansas KY Kentucky LA Louisiana MH Maharashtra ME Maine MB Manitoba MH Marshall Islands MD Maryland MA Massachusetts MI Michigan MN Minnesota MS Mississippi MO Missouri MT Montana NE Nebraska NV Nevada NB New Brunswick NH New Hampshire NJ New Jersey NM New Mexico NSW New South Wales NY New York NL Newfoundland and Labrador NC North Carolina ND North Dakota NT Northwest Territory NS Nova Scotia NU Nunavut OH Ohio OK Oklahoma ON Ontario OR Oregon PA Pennsylvania PE Prince Edward Island PR Puerto Rico QC Quebec Qld Queensland RI Rhode Island SK Saskatchewan SA South Australia SC South Carolina SD South Dakota Tas Tasmania TN Tennessee TX Texas UT Utah UP Uttar Pradesh VT Vermont Vic Victoria VA Virginia WA Washington WV West Virginia WA Western Australia WI Wisconsin WY Wyoming YT Yukon

Zip/Postal Code:	Zip/Postal Code:	Zip/Postal Code:
Zip/Postal Code:

Country:	Country:	Country:
Country:	--None-- UNITED STATES CANADA MEXICO AFGHANISTAN ÅLAND ISLANDS ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA, PLURINATIONAL STATE OF BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANARY ISLANDS CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA CÔTE D'IVOIRE CROATIA CUBA CURACAO CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUERNSEY GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISLE OF MAN ISRAEL ITALY JAMAICA JAPAN JERSEY JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KOSRAE KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PONAPE PORTUGAL PUERTO RICO QATAR RÉUNION ROMANIA RUSSIAN FEDERATION RWANDA SABA SAINT BARTHÉLEMY SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT MARTIN SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAIPAN SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SCOTLAND SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA ST. BARTHELEMY ST. CHRISTOPHER ST. CROIX ST. EUSTATIUS ST. JOHN ST. MAARTEN ST. MARTIN ST. THOMAS SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TIMOR-LESTE TINIAN TOGO TOKELAU TONGA TORTOLA TRINIDAD AND TOBAGO TRUK TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNION ISLAND UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA, BOLIVARIAN REPUBLIC OF VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALES WALLIS AND FUTUNA WESTERN SAHARA YAP YEMEN ZAIRE ZAMBIA ZIMBABWE

Email Address:	Email Address:	Email Address:
Email Address:

Phone:	Phone:	Phone:
Phone:

Phone Ext:	Phone Ext:	Phone Ext:
Phone Ext:

Fax:	Fax:	Fax:
Fax:

Website:	Website:	Website:
Website:

Do you wish to be notified about special offers and promotions?:	Do you wish to be notified about special offers and promotions?:	Do you wish to be notified about special offers and promotions?:
Do you wish to be notified about special offers and promotions?:	Yes No

Meeting Information

Meeting Name:	Meeting Name:	Meeting Name:
Meeting Name:

Org / Company:	Org / Company:	Org / Company:
Org / Company:

Meeting Specs:	Meeting Specs:	Meeting Specs:
Meeting Specs:	Upload File Action File Name File Size Status

Response Due:	Response Due:	Response Due:
Response Due:

Decision Date:	Decision Date:	Decision Date:
Decision Date:

Number of Attendees:	Number of Attendees:	Number of Attendees:
Number of Attendees:

Decision-Making Process:	Decision-Making Process:	Decision-Making Process:
Decision-Making Process:		Decision-Making Process Self Self   Committee/Board Committee/Board   Other Other otherDecision

Will you be doing a site inspection?:	Will you be doing a site inspection?:	Will you be doing a site inspection?:
Will you be doing a site inspection?:		Site Inspection? Yes   No   If yes, when?

Attendee Profile:
Attendee Profile:

Date Information

Meeting Date:	Meeting Date:	Meeting Date:
Meeting Date:		Arrival Departure

Alternate Date:	Alternate Date:	Alternate Date:
Alternate Date:		Arrival Departure

Alternate Date:	Alternate Date:	Alternate Date:
Alternate Date:		Arrival Departure

Meeting Pattern:	Meeting Pattern:	Meeting Pattern:
Meeting Pattern:	Meeting Pattern N/A    Starting Day - Sun Mon Tue Wed Thu Fri Sat  to   Ending Day - Sun Mon Tue Wed Thu Fri Sat   any   Number of Days - 1 2 3 4 5 6 7 8 9 10 11 12 13 14  day(s)

Date Comments:
Date Comments:

Room Information

Request Room Block Date:	Request Room Block Date:	Request Room Block Date:
Request Room Block Date:		Requested Room Block Start Date Requested Room Block End

Sun Mon Tue Wed Thu Fri Sat Date date1 date2 date3 date4 date5 date6 date7 Rooms room1 room2 room3 room4 room5 room6 room7   Sun Mon Tue Wed Thu Fri Sat Date date8 date9 date10 date11 date12 date13 date14 Rooms room8 room9 room10 room11 room12 room13 room14 Total Rooms:  0

Suite Needs:
Suite Needs:

Meeting Facilities

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