| CONTACT DETAILS (* denotes required field) |
| * Organization name: |
Organization Is Required
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| * Contact name: |
Contact Required
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| * Title: |
Title Is Required
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| * Contact phone: |
Phone Is Required
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| * Contact e-mail |
Email Is Required
Valid E-Mail Address is Required
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| Contact fax |
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| Company website url: |
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| Address 1: |
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| Address 2: |
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| City: |
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| State/Province/Region: |
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| Zip code: |
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| Country: |
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| MEETING REQUIREMENTS |
| Name of meeting |
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| Requested starting date: |
(mm/dd/yyyy) |
| Requested ending date: |
(mm/dd/yyyy) |
| Meeting / Function space required : |
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| Required rooms per night? |
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| How many nights? |
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| How many guests? |
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| Preferred price range: |
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| Meeting type: |
Corporation
Incentive
Association
Other |
| If other please list: |
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| MEETING HISTORY |
| Have you ever had a meeting in Hawaii ? |
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| Last meeting date in Hawaii ? |
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| What Island was it held on? |
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| What was the hotel name? |
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| What was the room rate? |
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| Please list any special requirements, requests or comments: |
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