BET Registration Form - jax-s3-amazonaws
BET Registration Form General Information First Name: David Last Name: Sampson Company: American Board of Internal Medicine Title: Meeting & Travel Planner E-mail: [email protected] Company Website: www.ABIM.org Phone: (215) 399-4011 Address 1: 510 Walnut Street Address 2: Suite 1700 City: Philadelphia State: PA Zip: 19106 Please provide a brief description of your company: ABIM is the organization that tests provides Board Certification for Internists Are you the decision maker? If not what role do you play in the site Yes selection?: Would you like to recommend another planner to this BET: Nancy Zanine, Group Manager Contact for this person(phone and email): Park Avenue Travel 11 Park Avenue Swarthmore, PA 19081 610-946-9598 nancy.zanine@parkavetrave l.com Have you ever booked a meeting in Jacksonville: yes Have you ever been to Jacksonville: not in several years Would you consider this destination for a meeting: YES How did you hear about this event: FROM AN EMAIL TO ME Are you bringing a Client?: Name of client:
General Meeting Information: How many meetings do you plan per year: 90 Smallest number of attendees: 15 Largest number of attendees: 250
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Previous Meeting 1: Type of Meeting: Board of Directors Name of Meeting: Joint Boards City held: Ojai, CA Location of Meeting (hotel): Ojai Valley Resort & Spa Number of attendees: 76 Peak night: 60 Total room nights: 210 Month and year of meeting: February 2011
Previous Meeting 2: Type of Meeting: Board of Directors Name of Meeting: Fall Board Meeting City held: Tucson, AZ Location of Meeting (Hotel): Westin Tucson Number of Attendees: 60 Peak night: 60 Total room nights: 180 Month and year of meeting: October 2010
Previous Meeting 3: Type of Meeting: Forum Name of Meeting: Summer Forum City held: Vancouver Location of Meeting (hotel): Westin Vancouver Number of attendees: 150 Peak night: 165 Total room nights: 585 Month and year of meeting: July 2010
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Future meeting that could be held in Jacksonville 1: Type of Meeting: Board of Directors Name of Meeting: Board Meeting Preferred Locations: Resort What is the average number of attendees: 80 Total number of rooms: 60 Number of rooms on peak nights: 210 Next open date (Month\Year): Feb or Oct 2013 Where are participants coming from: USA
Future meeting that could be held in Jacksonville 2: Type of Meeting: Name of Meeting: Preferred Locations: What is the average number of attendees: Total number of room nights: Number of rooms peak nights: Next open date(Month/Year): Where are participants coming from:
Future meeting that could be held in Jacksonville 3: Type of Meeting: Meeting Name: Preferred Locations: What is the average number of attendees: Total number of rooms: Number of rooms on peak nights:: Next open date (Month/Year): Where are participants coming from:
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General Meeting Information: How many meetings do you plan per year: 90 Smallest number of attendees: 15 Largest number of attendees: 250
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Previous Meeting 1: Type of Meeting: Board of Directors Name of Meeting: Joint Boards City held: Ojai, CA Location of Meeting (hotel): Ojai Valley Resort & Spa Number of attendees: 76 Peak night: 60 Total room nights: 210 Month and year of meeting: February 2011
Previous Meeting 2: Type of Meeting: Board of Directors Name of Meeting: Fall Board Meeting City held: Tucson, AZ Location of Meeting (Hotel): Westin Tucson Number of Attendees: 60 Peak night: 60 Total room nights: 180 Month and year of meeting: October 2010
Previous Meeting 3: Type of Meeting: Forum Name of Meeting: Summer Forum City held: Vancouver Location of Meeting (hotel): Westin Vancouver Number of attendees: 150 Peak night: 165 Total room nights: 585 Month and year of meeting: July 2010
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Future meeting that could be held in Jacksonville 1: Type of Meeting: Board of Directors Name of Meeting: Board Meeting Preferred Locations: Resort What is the average number of attendees: 80 Total number of rooms: 60 Number of rooms on peak nights: 210 Next open date (Month\Year): Feb or Oct 2013 Where are participants coming from: USA
Future meeting that could be held in Jacksonville 2: Type of Meeting: Name of Meeting: Preferred Locations: What is the average number of attendees: Total number of room nights: Number of rooms peak nights: Next open date(Month/Year): Where are participants coming from:
Future meeting that could be held in Jacksonville 3: Type of Meeting: Meeting Name: Preferred Locations: What is the average number of attendees: Total number of rooms: Number of rooms on peak nights:: Next open date (Month/Year): Where are participants coming from:
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