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Title:
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First Name:
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Surname:
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Professional Conference Organiser
Corporate (In-House Meeting Planner)
Association (In-House Meeting Planner)
Government (In-House Meeting Planner)
Other
I would like to:
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Event Name:
Number of delegates:
Event date(s) – not including bump-in and bump-out
From:
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Year
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To:
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Month
Jan
Feb
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May
Jun
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Aug
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Oct
Nov
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Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
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2025
2026
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2037
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2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
Room set up for Main (plenary) room
Please choose:
Classroom
Theatre
Banquet
Cabaret
U-Shape
Cocktail
Boardroom
Other
If other, please specify:
AV Requirements for Main (plenary) room
Please choose:
Data Projector
Screen
Flipchart
Whiteboard
Lecture/microphone
Staging
DVD/Monitor
Laptop
Other
If other, please specify:
Number of breakout rooms required
Please specify:
Breakout room AV requirement
Please choose:
Data Projector
Screen
Flipchart
Whiteboard
Lecture/microphone
Staging
DVD/Monitor
Laptop
If other, please specify:
Event Schedule
Please specify:
Additional Meeting, Event & Catering Requirements
Please specify:
Accommodation Requirements
Check in date:
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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25
26
27
28
29
30
31
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
Check out date:
Day
1
2
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4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
Approx. number of single rooms:
Approx. number of twin / double rooms:
Include Breakfast:
No
Yes
Comments:
Are your dates flexible? If so, then please provide alternate dates:
Frequency of this event
Please choose:
Once-off
Inaugural
Monthly
Quarterly
Biannual
Annual
Biennial (2yr)
Other
If other, please specify:
If applicable, where has the event previously been held?
Please choose:
Geelong & the Bellarine
Great Ocean Road
Regional Victoria
Melbourne
Other
If other, please specify:
Familiarisation form
How many events would you organise per year?:
1 - 2
3 - 5
6 - 10
11+
What is the average number of attendee’s per event?:
1 - 50
51 - 250
251 - 500
500+
What are some of the locations that you have held your events previously?
Please choose:
Geelong & the Bellarine
Great Ocean Road
Regional Victoria
Melbourne
Other
If other, please specify:
