Subscription Form

"Fancy a Lunch Date" is about meeting likeminded people with similar professional backgrounds in a relaxed and fun environment. It is also an opportunity for us to get to know our target audience for both Eventscentral and Eventcorp.

First of all we need to know how well our two organisations match. Please enter your information in the form below and if you qualify you will be sent a formal invitation to our next Chef's Hat lunch date.

First Name*

Surname*

Position*

Organisation*

Address*

Suburb*

State*

Post Code*

Country*

Phone (W)*

Phone (Mobile)

Email*

Dietary Requirements

How often would you like to participate in free trial activities organised by Eventcorp?

	Up to 3 per year
	Up to 6 per year

What types of activities would you like to participate in and trial?

What types of events are your responsible for?

Do you outsource all or part of the following elements of your incentive, conference or event related work? Please tick all those activities outsourced.

Which of the Following date ranges do you have a conference, incentive or event occuring in that you can outsource to an event management consultancy?

Where have you staged your events over the past 2 years?*

What destinations are you considering between now and the end of 2012?*

Would you like to consider one of our current advertised promotional offers?

	Yes
	No