Events/Conference Quote Form

Agency Use Only:	Vendor Use Only:
Agency:	Business:
Address:	Address:
City, State, Zip:	City, State, Zip:
Contact:	Contact:
Phone:	Phone:
Fax:	Fax:
Email:	Email:
Name of Meeting:

Meeting Dates:	Meeting Dates:
Preferred:	Preferred Available:
Alternate:	If not, list alternate dates available
Number of Anticipated Attendees:

Sleeping Rooms:	Sleeping Rooms:
Number of Sleeping rooms per night:	Are number of requested sleeping rooms available
Occupancy (single/double):	Continental Breakfast
Number of Full:	Cost for Full	$
Number of Queen:	Cost for Queen	$
Number of King:	Cost for King	$
Payment by Individual:
Direct billed to State:	Total Costs Sleeping Rooms:

Meeting Rooms: (large room to hold all participants)	Cost Per Meeting Room: Please describe each room below
Indicate Number of Meeting Rooms and include Description and Capacity for each.	Room 1	$
Room 2	$
Room 3	$
Total Costs Meeting Rooms	$
Requirements:

Breakout Rooms: (smaller rooms to accommodate smaller groups)	Cost Per Breakout Room: Please describe each room below
Indicate Number of Breakout rooms and include description, capacity and seating style (theater, classroom, banquet, other).	Room 1	$
Room 2	$
Room 3	$
Total Costs Breakout Rooms	$
Requirements:

Exhibit Space:	Exhibit Space:
Indicate number of booth spaces needed, size/dimension of booth(s), and if Wi-Fi /Internet, Electricity and Pipe and Drape are needed.	Cost Per Space	$
Total Cost for Wi-Fi/Internet	$
Total Cost for Electricity	$
Total Cost for Pipe and Drape	$
Total Other	$
Total Costs Exhibit Space	$
Requirements:

Audio Visual:	Audio Visual:
See Details Below	Podiums	$ Per Podium
Projectors	$ Per Projector
Screens	$ Per Screen
Microphones	$ Per Wireless $ Per Corded
Stage	$ Per Stage
Other:	$
Total Costs Audio Visual	$
Podiums: Requirements (list quantity, location, etc)
Projectors: Requirements (list quantity, location, etc)
Screens: Requirements (list quantity, size, location, etc):
Microphones: Requirements (list quantity, wireless, corded, location, etc):
Stage: Requirements :
Other: Additional requirements not listed above:

Food and Beverage Needs:	Food and Beverage: Breaks: $
Meals: List number of Meals per Day for each mealtime below, include meal requirements (box, buffet, plate), if centerpieces are needed, etc.	Meal	Rate Per Meal	Qty x Rate = Total
Breakfast	$	$
Lunch	$	$
Dinner	$	$
Total Costs Meals	$
Breakfast:	Qty per Day ________
Requirements:
Lunch:	Qty Per Day ________
Requirements:
Dinner:	Qty Per Day ________
Requirements:

Registration Area:	Registration Area:
Describe requirements for registration (tables, location, pipe and drape, electricity, etc)	Cost for set up	$
Total Costs for Registration	$
Requirements:

ADA Accessibility:	Are your facilities ADA Accessible?

Parking:	Parking: Can you accommodate the Parking requirements?
Cost for Parking:	$
Requirements:
Tax Exempt:

Additional Requirements not listed above: Describe in detail any additional requirements that are necessary but are not included above	Additional Requirements: Please provide costs for additional requirements. Please attach a separate sheet with details and costs.
Requirements:

Vendor Use Only

Are there Service fees? If Yes please provide the details (costs, what they are for etc)
Service Fee details if applicable:

Do you offer Multi-year discounts If Yes please provide the details below.
Multi-Year discount details:

Total Costs for all Services to be provided. These cost should include the separate attachment(s) for all additional requirements:	$

Vendor Signature:
Title:
Date: