Title* Select Mr. Mrs. Miss Ms. Dr. Other

First Name*

Last Name *

Company Name *

Address Line 1 *

Address Line 2

Town/ City*

State*

Country* Please select AfghanistanAlbaniaAlgeriaAm SamoaAndorraAngolaAnguillaAntarcticaAntiguaAntillesArab EmiratesArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBarbudaBelarusBelgiumBelizeBeninmBermudaBhutanBoliviaBosnia HerzBotswanaBouvet IslandBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEritreaEstoniaEthiopiaFalkland IslandFaroe IslandsFijiFinlandFormer CzechFormer USSRFranceFrench GuyanaGabonGambiaGeorgiaGermanyGhanaGibraltarGreat BritainGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea BissauGuyanaHaitiHeardHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNeutral ZoneNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPolynesiaPortugalPuerto RicoQatarReunionRomaniaRussiaSaint HelenaSaint LuciaSaint PierreSaint TomeSaint VincentSamoaSan MarionSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSloveniaSolomon IslandSomaliaSouth AfricaSouth KoreaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTadjikistanTaiwanTanzaniaThailandTobagoTogoTokelauTongaTrinidadTunisiaTurkeyTurkmenistanTurksTuvaluUgandaUkraineUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaYemenYugoslaviaZaireZambiaZimbabwe

ZIP/Postal Code *

Home Telephone

Business Telephone *

Fax *

Email *

Event/ Organization Please select Association Professional Association Trade/ Labour Association Health/ Med Association Other Communications/ Utility Educational Facility/ Lodging Financial/ Insurance Franternal Government High Technology Independent Planner Manufacturing Medical/ Healthcare Military Other Publishing Regional Religious Reunion Service/ Consulting Social Sports Supplier Trade show/ Convention Tourism Wholesale/ Retail

Title Please select Vice President Marketing/ Sales Manager Meeting Planner Show Manager Travel Manager Product Manager Admin/ Coordinator Other

Please contact me by  Phone  Fax  Email

Event Objective *

Arrival Date *

Departure Date *

Flexible?Yes  No 

Response Needed By

Alternate dates/ range, patterns eg. Mon-Wed, set up/ teardown

Event Name

Event Type * Event Type Trade show Conference Convention Regional Sales/ Incentive Seminar Executive Private Entertainment Public show Reception Training Board Banquet Special event Other

Purpose and Attendees

Breakfast, lunch, dinner, theme parties, special dietary need

What sites have you held event in before?

How did you find Millennium Hotels and Resorts?

How many hotel room nights do your meetings generate annually? Choose One 100 or less 100 to 250 250 to 500 500 to 1000 1000 to 2000 2000 to 3000 Over 3000