Moriah Co. Client Discovery Experience Intake Form
Provide details about your event to help us create a tailored experience.
Full Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Text Message
Event Type
*
Please Select
Corporate Event
Community Event
Private Celebration
Networking Event
Panel / Brunch / Workshop
Custom Experience
Preferred Event Date
-
Month
-
Day
Year
Date
Event Location (City/State)
*
Estimated Guest Count
*
Purpose of the event
*
Describe your vision in your own words
*
What feeling do you want guests to leave with?
*
Inspired
Connected
Empowered
Relaxed
Celebrated
Energized
Other
Specific themes, colors, or aesthetics envisioned
Target audience
*
Desired experience type
*
Formal & Structured
Interactive & Engaging
Relaxed & Intimate
High Energy & Social
Educational & Informative
Top 3 things guests should remember
*
What is already secured?
*
Venue
Vendors
Speakers
Sponsors
None yet
Level of support needed
*
Full Event Planning
Partial Planning
Day-of Coordination
Creative Direction Only
What do you need assistance with?
Vendor sourcing
Event design/decor
Run-of-show itinerary
Guest management
Sponsorship acquisition
Marketing & promotion
Estimated total event budget
*
Under $1,500
$1,500 – $3,000
$3,000 – $5,000
$5,000 – $10,000
$10,000+
Open to curated upgrades or premium enhancements?
*
Yes
No
Depends on recommendation
Is this event tied to a brand, business, or personal mission?
*
What message or story should this event communicate?
*
Should this event lead to future opportunities such as partnerships, press, revenue, or community growth?
Biggest concern about planning this event
*
Anything else Moriah Co. should know before beginning
Inspiration images
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Email Address
*
example@example.com
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