Event Questionnaire - Chris Norton

Client Name*
First Last
Contact Name
First Last
Phone*
Fax
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Program Title
Convention Start Date
Month
Day
Year
Convention End Date
Month
Day
Year
Name of Event Location
Event Location Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Event Location Phone
Airport Nearest to Event Location
Distance of Airport from Event Location
How Will transportation From the Airport be Provided?
Name of Hotel Chris Will be Staying in
Hotel Phone
Brief Description of Event Attendees
Number of Event Attendees
Average Audience Size
Average Age of Audience
Is Your Event Themed?
What is the Event's Theme?
Purpose of Event? (Convention, Training, Sales Seminar, Etc.)
Company Mission Statement
Name of Person to Introduce Chris (Please provided person's title, Introduction will be provided)
On Which Date Will Chris Speak?
Month
Day
Year
What Time Will Chris Begin Speaking?

: Hours

Minutes

AM/PM
What Time Will Chris Finish Speaking?

: Hours

Minutes

AM/PM
Please Provide Name of Principal Contact for Chris After His Arrival. (Provide Main Contact Phone as well as Emergency Phone)
Please Provide any Additional Information Chris Should be Aware of Prior to his Arrival