Contact Info:
	First Name			*Required
	Last Name			*Required
	Title			*Required
	Company or Organization			*Required
	Street address
	Address (cont.)
	City
	State/Province
	Zip/Postal code
	Work Phone			*Required
	FAX			*Required
	E-mail			*Required
	Travel Info :
	Client's Name:			Optional
	Dates:			*Required
	Number of Attendees:			*Required
	Breakdown of Group: (ie..couples, singles, men, women, 30+, 40+, 60+)
	Hotel Choice:			*Required
	Has Hotel been Contracted?			Yes No *Required
	2nd Choice Hotel:
	3rd Choice Hotel:
	Is Round-trip Airport Transportation Needed?			Yes No
	Which airport(s) is(are) being utilized?
	Do you need Meet & Greet Services?			Yes No
	Porterage to be included?			Yes No
	Private or Group Transfers?
	How many scheduled arrival/departure days?
	Are on-site/Hospitality staff required?			Yes No
	Tours and Entertainment
	Are you interested in tours?			Yes No
	How many?
				(Please check all that apply.)
				South Beach		Flagler Museum
				Vizcaya		Pro-Player Stadium
				Everglades		Other:
	Team Building Activities?			Yes No
	How many?
				(Please check all that apply.)
				Beach Olympics		Road Rally
				Scavenger Hunt		Sports Day
				Other
	Off Property Dinners?			Yes No
	How many?
				(Please check all that apply.)
				Intra-coastal			Museum of Discovery & Science
				Vizcaya			Flagler
				Other
	Need Named Entertainers?			Yes No
				(Please check all that apply.)
				Singer(s)			Orchestra
				Rock/Pop Band			Comedians
				Impersonators			Magicians
	Themed Dinners?			Yes No
	How many?
				(Please check all that apply.)
				Taste of Tropics			Mardi Gras
				Casino Night			Sports Bar
				Swamp Soiree
				Other
	Are you interested in Golf?			Yes No
	How many foursomes?
	Standard of Course?			Public			Country Club
				PGA Rated
	History
	Have you operated a program in Florida before?			Hotel Date Hotel Date
	Has your client attended a program in Florida before?			Hotel Date Hotel Date
	Additional Notes:
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