Winston-Salem Meeting and Convention Facilities and Services

Convention Sales Department
Visit Winston-Salem
(* = required fields)

To assist us in more effectively reaching our various market segments, please indicate which of the following publications you currently receive or subscribe. Please select all that apply.

Association Meeting	Meeting News	USAE
Association News	Meeting Professional	SAE
Black Meetings & Tourism	MeetingSouth	Successful Meetings
Corporate Meetings & Incentives	Meetings & Conventions	Other
Meeting Manager	Religious Conference Manager

Contact Information

Miss

Ms.

Mrs.

Mr.

First Name*

Last Name*

Company/Organization*

Address*

City*

State*

Zip*

Phone No.*

Fax No.*

E-mail Address*

Preferred Contact Method: Phone Fax E-mail Mail

Event/Meeting/Conference Information

Name of Event/Meeting/Conference *

Preferred Date(s):

Alternate Date(s):

Expected Number of Attendees (total number of attendees including both day guests and overnight guests)

Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday

Total Sleeping Rooms Required*

Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday

Please check all that apply.

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Classroom
Theater
Banquet
Board Room
Reception

Food and Beverage Needs*

Other Special Needs

Exhibits Yes No

If yes, please indicate number of booths below.

8' x 10'

10' x 10'

Previous Meeting Sites

Were convention and visitor bureau services utlilized? Yes No

Month	Year	City	Hotel/Facility

Other Cities Considered for this Meeting

(* = required fields)

For any additional information, email or call 336.728.4200 or toll free 866.728.4200.

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