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                         HelmsBriscoe Meeting Request
    Melinda Douglas 561.880.0427 / Fax 561.423.6441 / mdouglas@helmsbriscoe.com
Organization:          _______________________________________________________________
Name of Event:         _______________________________________________________________
Location Preferred:    _______________________________________________________________
Preferred Hotel Brand: _______________________________________________________________
Dates Preferred:       _______________________________________________________________
Alternate Dates:       _______________________________________________________________
# of Attendees:        __________________     Total # of Sleeping Rooms:    __________________
# Single Occupancy:    __________________     # Double Occupancy:           __________________
Room Rate Desired:     __________________     Decision date for hotel choice: __________________
Please check events needed and place approximate number of attendees (#) and approximate
times by each event. These do not need to be final numbers – they are just to allow the hotel to
see if they can meet your needs during the search process.
Sunday:                      # of Attendees      Additional Info Needed    Begin-End Time(s)
    ___    Breakfast:            _______         Plated? __ or Buffet? __  Begin_____ End _____
    ___    General Session:      _______         Setup*? _____________     Begin_____ End _____
    ___    Breakouts:            _______         # of breakouts? ___       Begin_____ End _____
    ___    AM Break:             _______                                   Begin_____ End _____
    ___    Lunch:                _______         Plated? __ or Buffet? __  Begin_____ End _____
    ___    PM Break:             _______                                   Begin_____ End _____
    ___    Dinner:               _______         Plated? __ or Buffet? __  Begin_____ End _____
    ___    Reception:            _______                                   Begin_____ End _____
    ___    Other (storage, office, etc): _____________________________________________________

Monday:                      # of Attendees      Additional Info Needed    Begin-End Time(s)
    ___    Breakfast:            _______         Plated? __ or Buffet? __  Begin_____ End _____
    ___    General Session:      _______         Setup*? _____________     Begin_____ End _____
    ___    Breakouts:            _______         # of breakouts? ___       Begin_____ End _____
    ___    AM Break:             _______                                   Begin_____ End _____
    ___    Lunch:                _______         Plated? __ or Buffet? __  Begin_____ End _____
    ___    PM Break:             _______                                   Begin_____ End _____
    ___    Dinner:               _______         Plated? __ or Buffet? __  Begin_____ End _____
    ___    Reception:            _______                                   Begin_____ End _____
    ___    Other (storage, office, etc): _____________________________________________________

Tuesday:                     # of Attendees      Additional Info Needed    Begin-End Time(s)
     ___   Breakfast:            _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___   General Session:      _______         Setup*? _____________     Begin_____ End _____
     ___   Breakouts:            _______         # of breakouts? ___       Begin_____ End _____
     ___   AM Break:             _______                                   Begin_____ End _____
     ___   Lunch:                _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___   PM Break:             _______                                   Begin_____ End _____
     ___   Dinner:               _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___   Reception:            _______                                   Begin_____ End _____
     ___   Other (storage, office, etc): _____________________________________________________
Wednesday:                # of Attendees      Additional Info Needed    Begin-End Time(s)
    ___ Breakfast:            _______         Plated? __ or Buffet? __  Begin_____ End _____
    ___ General Session:      _______         Setup*? _____________     Begin_____ End _____
    ___ Breakouts:            _______         # of breakouts? ___       Begin_____ End _____
    ___ AM Break:             _______                                   Begin_____ End _____
    ___ Lunch:                _______         Plated? __ or Buffet? __  Begin_____ End _____
    ___ PM Break:             _______                                   Begin_____ End _____
    ___ Dinner:               _______         Plated? __ or Buffet? __  Begin_____ End _____
    ___ Reception:            _______                                   Begin_____ End _____
    ___ Other (storage, office, etc): _____________________________________________________

Thursday:                  # of Attendees      Additional Info Needed    Begin-End Time(s)
     ___ Breakfast:            _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___ General Session:      _______         Setup*? _____________     Begin_____ End _____
     ___ Breakouts:            _______         # of breakouts? ___       Begin_____ End _____
     ___ AM Break:             _______                                   Begin_____ End _____
     ___ Lunch:                _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___ PM Break:             _______                                   Begin_____ End _____
     ___ Dinner:               _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___ Reception:            _______                                   Begin_____ End _____
     ___ Other (storage, office, etc): _____________________________________________________

Friday:                       # of Attendees      Additional Info Needed    Begin-End Time(s)
     ___    Breakfast:            _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___    General Session:      _______         Setup*? _____________     Begin_____ End _____
     ___    Breakouts:            _______         # of breakouts? ___       Begin_____ End _____
     ___    AM Break:             _______                                   Begin_____ End _____
     ___    Lunch:                _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___    PM Break:             _______                                   Begin_____ End _____
     ___    Dinner:               _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___    Reception:            _______                                   Begin_____ End _____
     ___    Other (storage, office, etc): _____________________________________________________

Saturday:                     # of Attendees      Additional Info Needed    Begin-End Time(s)
     ___    Breakfast:            _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___    General Session:      _______         Setup*? _____________     Begin_____ End _____
     ___    Breakouts:            _______         # of breakouts? ___       Begin_____ End _____
     ___    AM Break:             _______                                   Begin_____ End _____
     ___    Lunch:                _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___    PM Break:             _______                                   Begin_____ End _____
     ___    Dinner:               _______         Plated? __ or Buffet? __  Begin_____ End _____
     ___    Reception:            _______                                   Begin_____ End _____
     ___    Other (storage, office, etc): _____________________________________________________

Please Note Any Special Requests:




               Thank You Very Much, I Look Forward to Making Your Event the Best Ever!

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Meeting Request Form

  • 1. Submit by Email Print Form HelmsBriscoe Meeting Request Melinda Douglas 561.880.0427 / Fax 561.423.6441 / mdouglas@helmsbriscoe.com Organization: _______________________________________________________________ Name of Event: _______________________________________________________________ Location Preferred: _______________________________________________________________ Preferred Hotel Brand: _______________________________________________________________ Dates Preferred: _______________________________________________________________ Alternate Dates: _______________________________________________________________ # of Attendees: __________________ Total # of Sleeping Rooms: __________________ # Single Occupancy: __________________ # Double Occupancy: __________________ Room Rate Desired: __________________ Decision date for hotel choice: __________________ Please check events needed and place approximate number of attendees (#) and approximate times by each event. These do not need to be final numbers – they are just to allow the hotel to see if they can meet your needs during the search process. Sunday: # of Attendees Additional Info Needed Begin-End Time(s) ___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________ Monday: # of Attendees Additional Info Needed Begin-End Time(s) ___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________ Tuesday: # of Attendees Additional Info Needed Begin-End Time(s) ___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________
  • 2. Wednesday: # of Attendees Additional Info Needed Begin-End Time(s) ___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________ Thursday: # of Attendees Additional Info Needed Begin-End Time(s) ___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________ Friday: # of Attendees Additional Info Needed Begin-End Time(s) ___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________ Saturday: # of Attendees Additional Info Needed Begin-End Time(s) ___ Breakfast: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ General Session: _______ Setup*? _____________ Begin_____ End _____ ___ Breakouts: _______ # of breakouts? ___ Begin_____ End _____ ___ AM Break: _______ Begin_____ End _____ ___ Lunch: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ PM Break: _______ Begin_____ End _____ ___ Dinner: _______ Plated? __ or Buffet? __ Begin_____ End _____ ___ Reception: _______ Begin_____ End _____ ___ Other (storage, office, etc): _____________________________________________________ Please Note Any Special Requests: Thank You Very Much, I Look Forward to Making Your Event the Best Ever!