Planner Information
First Name:  
Last Name:  
Company:  
Title:
Address:  
City:  
State:  
Zip Code:  
Country:
Email Address:  
WebSite:
(www.yourwebsite.com)
Phone Number:  
Fax Number:
How did you hear about us?
Meetings per Year:
Basic Information
Meeting Name:  
Org. / Company:  
Response Due:  
Decision Date:  
Num of Attendees:

Meeting Requirements/Meal Functions:

Attach Meeting Specs:
 

Decision-Making Process:
Will you be doing a site inspection?
If yes, when?
Date Information
Choose Dates: Arrival Date Departure Date
Preferred Date:
Alternate Date #1:
Alternate Date #2:
Date Comments:
Room Information
Rooms Per Night:
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Please note requested hotel room rate range, if applicable:
Other rate range not listed:
Event / Meeting Information
Group Activities, check all that apply:







Additional Information (special or commissionable rates, specific needs, etc):
Special Instructions
History:
Year Property City

FORT SMITH CONVENTION & VISITORS BUREAU
2 North B, Fort Smith, Arkansas 72901
1-800-637-1477 | (479) 783-8888 | Fax (479) 784-2421
E-Mail: tourism@fortsmith.org		 ©2008 Fort Smith Convention and Visitors Bureau.
All Rights Reserved
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