Request for Proposal

Please provide the following contact information:

First Name
Last Name
Title
Organization
Address
City
State/Provence
Zip/Postal Code
Country
Work Phone
Fax
Email
Web Site

How did you and/or your organization hear about us? Please select all that apply.
	IACC Directory IACC Web site The Guide to Unique Meeting Facilities Local to the Boston Area Tufts University Alumnus World Wide Web (please specify below) Currect or past client referral (please specify below) Other (please specify below)
If you selected "Current or past client referral", "World Wide Web", and/or "Other" for the information above, please specify the client, site, search engine, etc. that provided you with our information.
Would you like to receive our informational materials?
	Yes No
Name of conference/meeting/event:
Proposed dates of program:
	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 2009 2010 2011 2012  to  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 2009 2010 2011 2012
Alternate dates of program:
	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 2009 2010 2011 2012  to  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 2009 2010 2011 2012
Total estimated attendance:
Number of commuters:
Number of residents:
Number of double rooms:
Number of single rooms:
Will you require coffee breaks?
	Yes No
Will you require breakfasts?
	Yes No
Will you require lunches?
	Yes No
Will you require dinners?
	Yes No
Please provide any special/private dining event information:
What are your meeting room needs?
What are your audio-visual equipment needs?
Please provide any other important information (e.g. office space needs, ADA needs, transportation issues, special dietary requests, special events/trips, etc.)