James B Henry Center

REQUEST INFORMATION

Request Brochure

Request Proposal

Thank you for your interest in The James B. Henry Center for Executive Development (Henry Center). Our online "Request for Information" section is a prompt and convenient way for you to begin your event coordination at the Henry Center.

Simply fill out the following form and upon receipt of your request, one of our business development coordinators will provide you with the information needed to meet your current objective. As you complete this page, please be sure to include all fields containing an astrisk. If you would like to request a sales brochure, click here.

When you submit your request, you will receive an e-mail with an overview of your answers and a confirmation of receipt.

*Required Field

Contact Information
*First Name:
*Last Name:
*Company/Organization:
*Address 1:
Address 2:
*City:
*State:
*Country:
*Postal Code:
*Daytime Phone Number: xxx-xxx-xxxx
*Fax: xxx-xxx-xxxx
*Email:
General Comments / Specific Inquiries

Event Information
*Event Name:
*Type of Event
If Other:
*Arrival Date: (mm/dd/yyyy)
*Departure Date: (mm/dd/yyyy)
*Dates Flexible?	Yes No
Alternate Dates:
Arrival Date: (mm/dd/yyyy)
Departure Date: (mm/dd/yyyy)
Event Summary:

Estimated Budget for your meeting/program:	$

Meeting Space
Date(mm/dd/yyyy)	Start Time	End Time	# Attendees	Preferred Room Setup

Audio/Visual Needs
High Speed Internet	Conference Phone	Screen
Data Projector	Computer/Laptop	Dial Up Internet
Television	Overhead Projector	VCR
Flip Chart	White Board	Video Conferencing
Document Camera	Microphone	Podium

Catering Needs
Hot Breakfast Buffet	Private Breakfast**
Lunch Buffet	Private Lunch**
Reception/Cocktail	Private Dinner**
Dinner Buffet	Hospitality
As a part of our service standards, your proposal will automatically include our continuous break sercice within the food service section of your meeting agenda.
**For Private meals, additional fees may apply.

Hotel Information

Total number of hotel guests:

Total number of rooms:

Room Block requested each night (make sure to change values to correct amount of rooms needed):

Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday

Additional Information
How did you hear about The James B. Henry Center for Executive Development?
I am an alum	Referred by an alumni
Attended an event here	Referred by business associate
Web Site	Publication
Candlewood Suites	University Club
Forest Akers	MMPI/MSAE/SGMP
Tradeshow	Other
If other, please explain how you heard of us; if referred by someone, please provide us with their name and affiliation:

Additional Comments: