Meeting Planner Enrollment Form

Name:
Title:
Organization:
Mailing Address:
City:
State:	Province/Region:
Country:
Zip:
Location Address:
City:
State:	Province/Region:
Country:
Zip:
	Is either the mailing or location address a residential address?
Email Address:
Phone Number:
Alt. Phone Number:
Fax Number:
Website Address:
Your birth date:	Month: Day:
Preferred method of communication:	Phone Fax Mail Email
Who referred you to CMCA?
Associations:	What other associations are you currently a member of? Select all that apply. MPI PCMA RCMA Other:
Organization Purpose:	Please share in 50 words or less the purpose of the organization you work for and what your position is within the organization. If you work for a denomination, please share the major distinctives of your denomination. This information will be included in CMCA's annual directory.

Number of Meetings Per Year:
Seating Capacity of Largest Meeting:
Number of Rooms Booked Per Year:	200 or less 200-1000 1001-2500 2501+ (how many?)
Do you have exhibits?	No Yes
Do you use catering or banquet facilities?	No Yes
City/State Booked:	Do you always book all of the room nights in the same city or state? If so, please list the location(s) consistently booked.
Meeting Region:	What part of the country are you currently holding meetings or plan to hold meetings? Select all that apply. Hawaii Midwest Northeast Northwest Southeast Southwest West
Meeting Specs URL:	Are your meeting specifications on the internet? If so, where?
Facility Types:	What type of facilities do you use? Select all that apply. Airport Hotels Colleges/Camps Convention Centers Downtown Hotels Resort Facilities Surburban Hotels
International Meetings:	Do you hold any meetings outside the United States? If so, what countries host these meetings?
You will get a chance to confirm your data before it is submitted.