Name:
Company/Organization:
Phone:
E-Mail:

What kind of Meeting?

(annual, sales rally, managers conference, training seminar, dealer conference, user group symposium, association convention, trade show, incentive program, president's club, etc.)

Date(s) of meeting?

Start Date:
End Date:

Date and time slot for Arty or Ed’s keynote presentation:

Meeting site (city and state):

Audience:

Who is the meeting for?
Number of attendees expected?
Are spouses or partners invited?	Yes No

Purpose of meeting:

(education, motivation, recognition and awards, product introduction, incentive awards, winners circle, R&R, etc.)

Desired outcome of meeting:

Theme of meeting:

Desired outcome of the keynote presentation?