Meeting Event Form

Basic Information

I need your contact information so I can get in touch with you regarding your event.

Name*

Email*

Company or organization name*

Phone number*

Best way to contact you*

Best time to contact you*

I’ll need to know a little about your event, like the date, location, and objectives.

Event Date*

Event Location*

Please include the venue, city and state.

What is the expected attendance?*

Who was your speaker last year?*

Tell us about your objectives for this event:

Is there a theme for the event? If yes what is the theme, and what does it mean to you?

What is the biggest challenge your organization and the attendees face that may not be addressed?

How did you hear about Velma?*

Who were you referred by?*

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Email

This field is for validation purposes and should be left unchanged.