* Company / Organization:

* Meeting / Event Name:

* Contact Name:

Address:

Daytime Phone Number:
- - ext.

Fax:
- -

* Email:

* How many people?

Alternative Dates:

Desired location in the County for this event:

Number of Sleeping Rooms Anticipated Each Night (for overnight guests):
King/Queen Doubles Quads

Catering needs:
Sit-down Buffet Hors d'oeuvres

Beverage needs:
Cash Bar Open Bar No Bar

Room set-up:
Banquet Classroom Theater U-Shape
Other:

Any break-out rooms needed?
Yes No
How many?
# per room

Budget requirements:
Please stay within $ per person.
Do not exceed $ for total event.

Other services/assistance needed:

When would you like to receive proposals?
1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2013 2014 2015 2016 2017 2018 2019 2020

Would you prefer responses via email or mail?
email mail

Decision date:
1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2013 2014 2015 2016 2017 2018 2019 2020

* How did you find the Lake County, IL CVB?