1) General Information ( * = required fields ) (Please only fill in the fields that are specific to yours needs)
First Name * Last Name * Company Address 1 Address 2 City, State Postal Code Country Phone * Fax Email *
2) Hotel / Venue Information
Location/Venue * Room Hotel Contact * Address City, State Postal Code Country Phone/Extension * Fax Email URL Meeting Title Date/Time *
Please indicate the services that you need:
4) Number of Attendees: 5) Stage Size:
6) Pre-Production
Set Design/Themed Environment Custom Content Powerpoint Video Audio Custom Gobos BannersOther (please specify)
7) Post-Production
Video Editing Duplication Video Encoding Audio Duplication CDRoms DVD EncodingOther (please specify)
8) Audio Visual Specs
Webcasting Powerpoint Laser Pointer Wireless Mouse LCD Projection Teleconference/Phone Interface TelePrompter 35mm Slides Caramate Overhead Podium Mic Wireless Lav Mic Qty: Wireless Hand Held Mic Qty: Table Mic Qty: Visualizer/Document Camera Presenter Preview Monitor Flip Chart White Board Smart Board Pipe and Drape Colors: Black Blue Grey Syc Other (please specify) 9) Audio Playback Format CD Cassette DATOther (please specify)
10) Audio Record Format CD Cassette DATOther (please specify)
11) Video Playback Format VHS SVHS BetaSP DVOther (please specify) 12) Video Record Format VHS SVHS BetaSP DVOther (please specify)
Questions, Comments, Special Needs