Thank you for your interest in retaining Kesselman-Jones, Inc. for you event coordination needs.  Kesselman-Jones, Inc. is a full service conference coordination firm; therefore, we provide a variety of services which vary from client to client.  In order for us to determine the fees for your event we ask that you complete the following survey.  If you prefer to review this survey over the phone we would be happy to assist you.  The data provided will help us determine which of our services you will need and how much time will be devoted to coordination.

Contact Information

Email:

First Name:

Last Name:

Company:

Address:

City:

State:

Zip Code:

Telephone:

Mobile:

Website:

Best Time to Contact:

General Event Information

Name/Theme of Event:

Proposed Event Date:

Event Audience: (provide a brief listing of type of professionals event is targeting)

Has This Event Been Held Before?

Has a Facility Been Secured? If yes please provide name.

What is the Purpose/Goal of this Event?

Marketing

Attendance Goal :

Registration

Will a Fee be Charged to Attend?

Planning Process

Has a Steering Committee been Established?

Fiscal Management

Has a Budget been Established?

If you are able to disclose the amount at this time please do so.

Does the Event Need to Generate a Profit?

Other

Please use the space below to provide any additional information you think is important for us to know about your event.