Company Name : *
Company Address Street : *
City : *
State/Province : *
Zip :
Country :*
Firstname, Initial, Lastname : *
Salutation : *
Mr. Mrs. Miss Ms. Khun Dr. Prof. Sir Lord Lady
E-mail : *
Re Type E-mail : *
Phone Number :
Fax Number :
Country: (of residence) *
Nationality: *
Decision Date :
/ / (Date by which client would like to make a decision)
Event Name : *
Date Of Event : *
/ /
Estimated period of stay : *
Arrival
Departure
Event Type : *
Meeting Conference Incentive Other
Sites : *
Phuket Bangkok Samui Other
Hotel Category : *
3 Star 4 Star 5 Star
Any Specific Hotel Name :
1. 2. 3. 4. 5.
Number of rooms : *
Rooms type : *
Single no. of rooms
Twin no. of rooms
Double no. of rooms
Triple no. of rooms
Number Of Attendees : *
Group Nationality : *
Conference Set up Style : *
Theatre Classroom U-shape Banquet Cocktail Other
Breakfast :
No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Day dd/mm/yy, dd/mm/yy
AM Break :
Lunch :
PM Break :
Dinner :
Hospitality Desk :
No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Day
Do you require a Gala Dinner?
Yes No Possibly
Equipment Needed?
Yes No If Yes Please Specify
Will Delegates arrive on different flights or on the same flight? *
Same Different Don't Know Yet
Other Requirements :
Other Services Details :
Ground transportation services Sightseeing / Local attraction Excursion / Spouse program Gifts / Souvenirs Special arrangement required: