QualityHotel

Name*

Daytime Phone or Mobile*

Email Address*

Dates Yes* (eg. dd/mm/yyy)

Company Name

Number of Delegates Attending*

Accommodation Required?
Yes No

How Many Delegates Require Accommodation

Catering Required
Tea/Coffee
Morning Tea
Lunch
Afternoon Tea
Dinner
Dinner Function/Cocktail Party/ Meet & Greet

Standard Equipment Required
White Board & Pens
Flip Chart & Pens
Overhead Projector
VHS Player & Monitor
Microphone*
Lectern*
Stage*
*subject to availability

Additional Equipment Required
Data Video Projector
Lapel Microphone
Hand Held Microphone
Laser Pointer
Technichal Support

Special Requests/Further Information