Events Questionnaire Basic InformationWhat is your name?*What is the name of your supervisor?*What is the name of the event? (To be used on marketing material)*Who is leading the event?*Who will be the CPM contact for the event?*Who is the contact for the venue?What day does the event begin? MM DD YYYY What time does the event begin?* : HH MM AM PM What day does the event end? MM DD YYYY What time does the event end?* : HH MM AM PM Name of VenueWhat is the address for the event?* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is registration required?*YesNoNot sure yetWill you need a digital/print design for your event?*YesNoUnsureWill you need any marketing or publicity?*YesNoNot sure yetRegistration InformationWhat information do you need collect?* Full Name Address Phone Email Prefix (Mr., Mrs. etc) Suffix (Jr. Sr. Dr. etc) Date of Birth Emergency Contact Information Parent/Guardian information Medical Conditions Allergies Apparel Sizes (T-shirts, Sweaters) Other Please list the other information you need to collect:Does your event only need an email confirmation or do you need tickets (printable, will call, mail)?* Select All Email Confirmation Printed Tickets Will Call Mailed Tickets Most events will only need email confirmationWho will receive notifications for new registrations.*Please enter their email (use comma if multiple emails)*Who will handle correspondence for registrants who have questions?*Please enter their email (use comma if multiple emails)*What types of ticket options do you need?*Is registration free?*YesNoWhat is the cost for the event?*Please list all ticket types belowWhat is the registration deadline? (If there is an early bird option, please include deadline for that as well)*What is the accounting code for this event?*If a code has not yet be created please enter 99999 and contact Dave Lee at dlee@media.chosenpeople.com immediately. Do you require a deposit upon registration?*YesNoWhat is the deposit amount?*Please enter a number greater than or equal to 1.Do you allow multiple payments?*YesNoDo you require any coupon codes for this event?*YesNoPlease describe the coupons needed in the space below:What is the total capacity of the event?*Design InformationDo you need a logo created for your event?*YesNoWill you need a landing page on events.chosenpeople.com?*YesNoWill you need any print material?*YesNoCheck all that apply* Bi-Fold Brochure Tri-Fold Brochure Flyer Postcard Poster Invitations Roll up Banners Hanging Banners Will you need any additional apparel/accessories (hats, t-shirts, wristbands, etc.)?*YesNoWho are the speakers/musicians/etc for this event?*Please write a short paragraph describing the theme of this event.*Will this event have different sessions? Would you like to include a schedule on the landing page?*Will your event include a children's program?*Marketing InformationWill you need content written for this event?*YesNoThe Digital Media and Publications Departments will be responsible for writing, editing, and scheduling of all written content. We will use all the information you have submitted to write this content. Will you need any Facebook or Instagram ads?*YesNoWho is the target audience for this event?What makes this event different from our other events?*EmailThis field is for validation purposes and should be left unchanged.
