MEMBERS GPECC Event Host Questionnaire This form allows us to gather necessary information to plan a successful event with you. Venue Name * Address Address of venue for event. Address Line 1 * Address Line 2 City * State * Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code * Contact Person * This will be our contact for setting up the event. Contact email * Email for the venue contact Phone * Phone for venue contact Are you a current GPECC member? * Select option... Yes No Still active but past due Which type of GPECC event would you like to host? * Select option... Monthly Luncheon Monthly Netmixer Trainings Leadership meetings Venue seated capacity * How many people can your venue fit comfortably seated? Venue mixed capacity * How many people can your venue fit comfortably with some seats? What is your preferred date to host a GPECC mixer? Format: M/d/yyyy GPECC mixers are held on the 2nd Thursday (West Valley), 3rd Thursday (Central Valley), 4th Tuesday (East Valley) Does the venue have a projector and screen we can use? * Select option... Yes No Will the venue be open to the public during the event? * Select option... Yes No Is the venue ADA acessible? * Select option... Yes No Can the venue play background music? * Select option... Yes No Food and Drink * Will you be providing any food and drink? Please describe. Anything else you would like us to know.
