Pulaski County Tourism Bureau 1-877-858-8687 or 573-336-6355 Located at 137 St. Robert Blvd., St. Robert, Missouri Meeting and Reunion Planner Information Request Form Please provide as much information as possible as your efforts will result in a well prepared proposal. Call 1-877-858-TOUR or complete the form below

CONTACT INFORMATION Prefix Mr. Mrs. Ms. Dr. First name Last name Organization Address City State/Province Zip code Phone Fax Email Web site Type of organization (Select from pull-down) Corporate Athletic, Sports, Recreation Fraternal Government Religious Organization Military Organization Reunion Education- University or School Hobby or Vocational Organization Association MEETING PROFILE Complete meeting name Meeting type (Select from pull-down) Board Education Retreat Committee Convention Tradeshow Series Conference Membership Other (Explain) Other (Please explain) Meeting scope: Where do most attendees come from? (Check all that apply.) Local State Regional National International Decision maker of event? (Check all that apply.) Board Primary Contact Committee Chief Staff Executive Meeting Management Company Proposal due by Meeting start date January February March April May June July August September October November December 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 2004 2005 2006 2007 2008 2009 2010 Meeting end date January February March April May June July August September October November December 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 2004 2005 2006 2007 2008 2009 2010 Alternate start dates: For this meeting Meeting start date January February March April May June July August September October November December 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 2004 2005 2006 2007 2008 2009 2010 Meeting end date January February March April May June July August September October November December 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 2004 2005 2006 2007 2008 2009 2010 Largest attendance Largest meeting setup (Select from pull-down) Schoolroom U-shape Herringbone Theater Rounds of 8 Rounds of 10 Hollow Square Conference Other (Explain)      for attendees Other (Please explain) Number of concurrent breakout rooms utilized Preferred setup for breakouts ON-SITE FOOD AND BEVERAGE FUNCTIONS Number of breakfasts    Number of brunches    Number of luncheons    Number of receptions    Number of dinners      Estimated attendance     Estimated attendance     Estimated attendance     Estimated attendance     Estimated attendance       Bar service needed at any food functions Yes No Break service needed for morning or afternoon sessions? Yes No If yes, estimated number of breaks average attendance Any off-site food and beverage functions Yes No GUEST ROOM INFORMATION Arrival date January February March April May June July August September October November December 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 2004 2005 2006 2007 2008 2009 2010 Departure date January February March April May June July August September October November December 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 2004 2005 2006 2007 2008 2009 2010 Enter minumum number of guest rooms needed per night: Sun Mon Tue Wed Thu Fri Sat # of Smoking # of Non-Smoking Enter number of suites needed per night: Sun Mon Tue Wed Thu Fri Sat # of Smoking # of Non-Smoking Suites utilized for hospitality Yes No Percentage of single rooms Percentage of double rooms Preferred guest room rate range (Select from pull-down) $50-$65 $66-$80 $81-$100 $100+ EXHIBITS (If any, please complete the section below.) Type of show Type of exhibits 8x10 10x10 Tabletop Other (Please explain) Number of exhibits Total exhibit square footage Move in day Monday Tuesday Wednesday Thursday Friday Saturday Sunday First show day Monday Tuesday Wednesday Thursday Friday Saturday Sunday Last show day Monday Tuesday Wednesday Thursday Friday Saturday Sunday Move out day Monday Tuesday Wednesday Thursday Friday Saturday Sunday SPECIAL REQUIREMENTS We can also assist you in finding specialized services to make your planning process easier. Please check those areas in which you would require additional information. Audio-visual services Teleconferencing Business Amenities Printers Off-premise event sites Off-premise catering Banquet facilities Hired entertainment or speakers Theme parties or special events Spouse or youth programs Shopping Florists Child care Special dietary needs Special assistance/disabilities Fitness facilities Golf Shuttle service or ground transport Car rentals Airline Shipping services Media contacts Tours or sightseeing Other (Please explain) Comments or Special Notes: Thank you for contacting the Pulaski County Tourism Bureau for your meeting needs.