| Organization name |
|
| Organization address |
|
| Address line 2 (if needed) |
|
| City |
|
| State or Province |
|
| ZIP or postal code |
|
| Country (if other than U.S.) |
|
| (Area Code) & Telephone |
|
| (Area Code) & Fax |
|
| E-Mail |
|
| Organization or event web address |
|
| Contact name |
|
EVENT INFORMATION |
| Event name |
|
| Brief Description |
|
| Anticipated Participant Attendance |
|
| Anticipated Spectator Attendance |
|
SPECIFIC REQUIREMENTS |
| Rights Fee (if applicable) |
|
| Room Nights (if applicable) |
|
OTHER |
| Other Cities Under Consideration |
|
| Comments/Questions? |
|
| Preferred Method of Communication |
Phone
Email |
| |
|
