Please fill out this form and submit it to "MPRESS" Meeting Planners Reliable Expert Speakers Source and we will contact you within 21 hours. Please be specific and generous with your information so we can give you the outstanding service you demand!

1. What is the Date of the Convention, Conference, or Meeting?
Month: Day: Year:

Arrival Time: Departure Time:

2. Where is the Event Site:

3. What type of business is your organization in?

4. What is the purpose of this meeting meeting

5. What are the three most significant events to have occurred in your industry or within your group during the past year?

1

6. Who will be in the audience?

Sales Spouses Employees Executives Management Association Other If Other, please specify:

% WOMEN: % MEN:

AVERAGE AGE: HOW MANY TOTAL:

7.Date(s) of presentation(s)?

8.Length of presentations?

9. Will there be a theme for the speakers to incorporate into their presentations?

10.List three things you liked about your last speaker(s)

1

2

3

11. List three things that could be improved with your last speaker(s) performance

1

2

3

12. What kind of meeting? blank Sales Annual Dealers Training Seminars Incentive Users Group Presidents Club Managers Conference Other

If Other, please specify:

13. How many programs will you have?

14. How many speakers will be required?

15. Will you need any entertainment?


16. What slots for speakers or entertainment need to be filled?.

Sales	Seminar	General session presenters
Opening session	After-dinner show	Banquet entertainment
Keynote	Closing session	Special spouse program
Breakout seminar	Special events program	Other

If Other, please specify:

17. What type of speaker is needed? blank Business Humorous Motivational Entertainment Inspirational Industry Expert Other

If Other, please specify:

18. What is your topic?

TOPICS