Professional Profile

I am completing this profile because:

Check One Reason and Complete Information Field
I want to be considered for a site inspection trip going to on (date)

I would like to RSVP for the showcase event titled: which will happen: (date)

I am requesting a proposal for: (other)

Schedule and Appointment

I would like to have an appointment in my office on this date and time

I would like to have an appointment at the trade show on this date and time

Appointment Date and Time:

Please complete the form as fully as possible - fields with * are required.

Anyone may choose to call us directly for discussion at any time at (707) 494-2861 or email at (jim@worldincentivenexus.com)

This form is also ADA compliant for those who might be using assisted screen readers.

Personal Information
*Name:
*Title:
*Company:
Street:
*City: State:
Postal Code: *Country:
*Phone: Fax:
*Email: Web URL:

1. How many programs of these sizes do you plan each year?
Under 50 attendees 50-100 attendees
100-250 attendees 250-400 attendees
400-1,000 attendees Over 1,000 attendees

2. Type of Programs:

Of all the planning you do what percentage is in each meeting type?

Incentives % Meetings %
Board Meetings % Conventions %
Training % Special Events %
Adventure Programs % Other %

3. Please tell us about two international programs within the past 2 years (one is required).

Past Program A:
*Month *Year *Number of nights:
*Type of Program:
*Number of Attendees: *Name of Hotel :
*City: *Country:
*Name of contact at Hotel:
Phone for this contact:
Email for this contact:
Name of DMC contact:
Phone for DMC:
Email for DMC:

Past Program B: Month Year Number of nights:
Type of Program:
Number of Attendees: Name of Hotel :
City: Country:
Name of contact at Hotel:
Phone for this contact:
Email for this contact:
Name of DMC contact:
Phone for DMC:
Email for DMC:

4. Please tell us about 2 future planned international meetings/incentives.

Planned Program A:

This one is already fully booked and ready to operate:

Month Year Number of nights:
Type of Program:
Number of Attendees: Name of Hotel :
City: Country:
Name of contact at Hotel:
Phone for this contact:
Email for this contact:
Name of DMC contact:
Phone for DMC: Email for DMC:

Planned Program B:

This program is not fully booked and you are still looking for a location:

Month Year Number of nights:
Type of Program:
Number of Attendees: Name of Hotel:
City: Country:
Name of contact at Hotel:
Phone for this contact:
Email for this contact:
Name of DMC contact:
Phone for DMC: Email for DMC:

5. Location for meetings/incentives: Which of the following locations may be considered in the next 6-12 months?

Please check all that apply

San Francisco
Northern California
Other California
Hawaii
Alaska
Other U.S.A.
Canada

Are there any other locations which may be of interest in the next 6-12 months? Please list them below:

6. Would you prefer we contact you via phone, fax or email?

Phone Fax E-mail

*Signifies Required Field

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