* Event title
* Event date (MM-DD-YYYY)
* Event time
* Organization name
Organization web site
Purpose of your organization
Objective of the event
Estimated number of attendees
Will this event be open to the public? Yes No
Will this be a ticketed event? Yes No
If ticketed event, what is the average price of a ticket?
How do you plan to market and advertise your event?
Demographics of the attendees
Other speakers
Venue address
Name of the contracting company
Address of the company to be listed on the contract
Name and title of person signing contract
Logistics Company Contact Information
Name
* Personal Email
Office phone
Office fax
Cell phone
* Verify