Eventcation's MICE Referral Service
Please complete the form below for your event needs
Name
*
Mr.
Mrs.
Ms.
Miss
Dr.
Prefix
First Name
Last Name
Your Title
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Company Name
*
Company Website
In a few sentences, tell us about your company including what industry you are in and how long the company has been in business.
*
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Next
Is there a current need for a specific event?
*
Yes
No
Event Description
*
Please provide as much detail as possible about the nature of the program/event.
Type of Event
*
Please Select
Sales
Experiential
Incentive
Leadership
Conference
Trade Show
Regional Event
Roadshow
Board Meeting
Other
Event Format
*
Please Select
Live
Virtual
Hybrid
Estimated number of LIVE attendees
*
Enter 0 if event is virtual only
Estimated number of VIRTUAL attendees
*
Enter 0 if event is live only
Event Start Date
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Event End Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
What is your anticipated event budget, excluding airfare and hotel accommodations?
*
A minimum budget of $100,000 is required excluding airfare and hotel accommodations.
What country will the event be located in?
*
If known, what city, state/province/territory will the event be located in?
Event Services Needed
*
Attendee Management
Content Creation
Creative
Event Marketing
Event Technology
Exhibits & Sponsorships
Logistics Management
Production
Sourcing
Virtual Platform
Other
How many events does your company produce annually?
*
Please Select
Less than 10
10 - 25
25 - 50
50 - 100
Over 100
What is the typical number of attendees (range)?
*
Please Select
Less than 100
100 - 200
200 - 500
500 - 1,000
Over 1,000
What types of events do they typically host?
*
Sales
Experiential
Incentive
Leadership
Conference
Trade Show
Regional Event
Roadshow
Board Meeting
Other
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Next
Does your company currently work with a Meeting & Event Agency or Preferred Vendor?
*
Yes
No
Name of Meeting & Event Agency of Vendor
*
Are there any notable successes or challenges with your current vendor?
*
Is there anything else we should be aware of?
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Are you the decision maker for your company's event(s)?
*
Yes
No
What is the timeline for making a final decision and securing event services?
*
Under 30 days
1 to 3 months
3 to 6 months
1 year
Over 1 year
Unsure
Additional Information
Submit
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