

Required Fields are labeled in Blue
1. Contact Information:
Company
First Name
Last Name
Position/Title
Street & N°
Zip/Postal Code
City
State/Province
Country
Phone
Fax
E-mail

2. EUROMIC Destinations: (maximum 3!)
Members:		World Affiliates:
Austria	Italy	Argentina
Baltic States	Jordan	Brazil
Belgium	Malta	China
Croatia	Morocco	Dubai
Cyprus	Netherlands	India
Czech Republic	Norway	South Africa
Denmark	Poland
Egypt	Portugal
France	Romania
Germany	Russia
Greece	Spain
Hungary	Sweden
Iceland	Switzerland
Ireland	Tunisia
Israel	Turkey

City(ies):
Please kindly fill in the specific city(ies)
1
2
3

3. Type of Programme:
incentive	product launch
meeting	leisure group
meetcentive	special interest group
seminar	other:
conference

4. Request:
For your convenience, you can insert your request and/or complete the requirements here under


5. Requirements:
Please fill in your specific requirements
A. Dates
Arrival
Departure
Other

Alternative Arrival
Alternative Departure
Other
B. Hotel Category
5*
4*
3*
other
C. Bedrooms
# of Singles
# of Doubles
# of Twins
# of Suites
Others
D.Meeting Rooms
General Session
#of pax
Set up Type
Start Date
End Date
Audio Visual requirements
Special requirements

Breakout Rooms
# of rooms
Average # of pax
Set up Type
Start Date
End Date
Audio Visual requirements
Special requirements
E. Food & Beverage
Daily Breakfast
AM Coffee Break
Lunch
PM Coffee Break
Reception
Reception Date
Dinner on-site
Dinner off-site
Dinner Date

Is there any other information re F&B requirements?


F. Activities
Are you looking at the following activities? Specific Requirements
Transfers
Welcome Reception
Off-site
Off-site Gala Dinner
Spouse Programs
Team Building
Cultural Activities
Sport/Adventures Activities
Other

Average age of participants
	%male %female

Activity History


G. Budget
Budget per participants?
or Budget level?

H. Deadline
What is your Deadline?

Click on “submit” for your request to be send to the chosen Destination Management Company(ies)