Company

First Name

Phone

Projected Date of Program

City of the Program

How Did You Find Us?

Urgency/Deadline for Feedback

Budget (estimate is fine)
 $2,000 - $3,000 $3,000 - $6,000 $6,000 - $10,000

How is the decision made regarding program selection?
 I will decide My supervisor will decide A committee will decide

Where Are You In Your Program Research?
 We are doing initial investigation for budget purposes We are ready to move forward Emergency! We need last minute help!

What is the Purpose of your event? (select all that apply)
 Have fun as a team Yearly Away-Day Building into a Conference Get-to-know-you exercise Improve teamwork, trust and communication Work on specific team issues

What type of events interests you? (select all that apply)
 "Foodie" Team Building Activity Cooking Team Building Activity Treasure Hunt (discover your city as you discover your team) Philantropic Program (give back to the community) Fun Competition Personality styles (learn about yourself and your team members) Team Development(have fun while learning about teamwork) Other