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Enrollment Form / Formulaire d’adhésion

Enrollment Form

Yes. Please enroll me in the CHIP Privileged Planner™ program and sign me up for E-Bulletins.

Please complete the following information. Items marked with an asterisk (*) are required.

Title
First Name*
Last Name*
Email*
Re-type email to confirm*
Company Name*
Address*
City*
State/Province*
Zip/PostalCode*
Country*
Business Phone*
Fax


In order for us to serve and develop better programs for you, we would appreciate your answers to the following questions.

1. Please indicate the type of meetings planned per year:
Small (10-50 attendees)
Medium (51-200 attendees)
Large (201+ attendees)
   
2. Please identify the four city locations you choose for your meetings.
   
3. How far in advance do you normally plan your meetings?

 

For office use only
Enter CHIP Hospitality Associate Name:

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