Individual Site Interest Form

Your First Name*

Your Last Name*

Email*

Company*

Company URL*

Title*

CONTACT INFORMATION

Address

Apt/Suite

City

State/Province Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Zip/Postal Code

Work Phone

Work Fax

GENERAL QUESTIONNAIRE

What is your preferred method of communication? Select Email Fax Mail Phone

Is this the first time you have visited the Peppermill Resort and Casino? Yes  No

How did you hear about this special site visit? Direct email Direct mail Magazine Advertisment Word of mouth N/A

Pursuant to the Americans with Disabilities Act, do you require specific aids or services? None Visual Audio Mobile Other

My current position is in the following industry: Select Corporate Association Government agency Non-profit organization Independent planner Education Other

Most of my meetings take place on: Weekdays Weekends

What type of meetings do you plan? Boards/committee meetings Sales training Tradeshows Product launches Annual meetings Incentive meetings Other

What are most important to you in selecting a meeting venue? Location Price Contract flexibility Quality of food and beverage Quality of meeting space Overall service Other

What types of venues are your preference? Resort Conference center Airport Downtown Suburban Brand Other

How many meetings and events do you plan each year?* Select 1 meeting 2-5 meetings 6-10 meetings 11-20 meetings 21-50 meetings 51-100 meetings Over 100 meetings

What is the approximate number of attendees to a typical size meeting?* Select 1-50 attendees 51-100 attendees 101-250 attendees 251-500 attendees 501-1000 attendees 1001-2500 attendees N/A

What is the average cost of a typical meeting that you plan?* Select < $25,000 $25,000 - $50,000 $50,000 - $100,000 $100,000 - $200,000 $200,000 or more

What is your next open meeting date?

What date would you like to visit?

Do you have employees or corporate guests traveling for
business throughout the year? Yes  No

Does your business use a travel agency? Yes  No

How frequently do your corporate guests travel?

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