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Enquiry Form
Want Momentum to call you and discuss your needs? Then fill in our
Call Back
Form
Event Type
Conference (24hr)
Room Hire
Private Dinner
Conference Day
Exhibition
Dinner Dance
Training Course
Syndicates
Other
Business Details
Company Name
Contact Name
Company Address
Telephone
Fax Number
Email address
Event Details
Start Date (dd-mm-yyyy)
End Date (dd-mm-yyyy)
Location / Area
Priorities
e.g (budget / location / venue style etc.)
Purpose of event
Previous Event
Who is Attending
Meeting Rooms
No. of delegates to accommodate
Main Room Layout
Syndicate Rooms
No. of delegates to accommodate
Syndicate Room Layout
Budgets
Outline Schedule
e.g (09:30 Arrive coffee/tea/juices 10:00 Meeting begins: 12:00 Lunch...)
Equipment details
Equipment Requirements
Lecturn
Flip chart
Whiteboard
Projector
Slide Projector
Projector Screen
Plasma / LCD screens / TV
Playback facilities (DVD / VHS etc..)
Audio Equipment
Internet Connection
Laptop
Telephone
Video Conferencing
Staging
Lighting
Radio Microphones
Fixed Mic
Lapel Mic
Amplifier
Lecturn Lights
Sound Desk
Remote Cue Advance
Other Equipment
Additional Venue Requirements
e.g (Wi Fi, Golf, Leisure Suite, Spa)
Event Accommodation
Bedroom Type
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Double (2 persons)
Double (1 person)
Twin (2 singles) 2 persons
Twin (2 singles) 1 persons
Single (1 person)
Total =
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