StarPoints Hotel Kuala Lumpur

Your Name*:

Your Email Address*:

Company Name:

Address:

Telephone Number*:

Fax:

How would you prefer we communicate with you: Fax, e-mail or telephone?

Meeting Name:

Meeting Type:

Sleeping Rooms and Meeting Space needed:

Date (dd/mm/yy) Day Sleeping Rms/Nights Meeting Time Meeting Name No. in Meeting Set-up of Meeting

Example:

Date (dd/mm/yy)	Day	Sleeping Rms/Nights	Meeting Time	Meeting Name	No. in Meeting	Set-up of Meeting

Are the dates flexible? Yes No

Is the pattern flexible? Yes No

How many times per year is the meeting held?

Who will sign the contract?

Decision Date? (dd/mm/yy)

Date range?

Meeting History:

Month Year Hotel City State/Country

Comments: