Please enter the form below. Fields marked with an asterisk (*) are required.
Contact information
First name*
Last name*
Title*
[ Select one ]
Mr.
Mrs.
Ms.
Job title*
PD Code*
[ Select one ]
0100 - Philips Lighting
0200 - Philips Consumer Lifestyle
0900 - Philips Healthcare
1700 - Philips Corporate
Funloc no*
E-mail *
Phone no.*
Replacing contact person
Email replacing contact person
General information
Meeting name* (internal)
Meeting name (to appear on signage, if different than above)
Meeting type*
[ Select one ]
Customer meeting/event
General Business Meeting
Incentive meeting
National Sales Meeting
Sales meeting
Sr. Management meeting
Training meeting
Event
Meeting budget
Date of arrival (dd/mm/yy)*
Time of arrival (hh:mm)*
Date of departure (dd/mm/yy)*
Time of departure (hh:mm)*
Location of meeting
City / Country
Hotel preference #1
Hotel preference #2
Hotel preference #3
Location preference (situation)
Near highway
City center
Near public transportation
Quiet surroundings
Near airport
Meeting requirements
No. of meetingrooms
Meetingroomtype
No. of persons
Room set-up
Plenary
Break-out
U-shape
Classroom
Rounds
Theatre
Circle
Conference
Plenary
Break-out
U-shape
Classroom
Rounds
Theatre
Circle
Conference
Plenary
Break-out
U-shape
Classroom
Rounds
Theatre
Circle
Conference
Plenary
Break-out
U-shape
Classroom
Rounds
Theatre
Circle
Conference
Plenary
Break-out
U-shape
Classroom
Rounds
Theatre
Circle
Conference
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Audio Visual requirements
Flipover
Plenary
Break-out
All
Overhead projector
Plenary
Break-out
All
Whiteboard
Plenary
Break-out
All
Beamer
Plenary
Break-out
All
Plenary
Break-out
All
Plenary
Break-out
All
Catering requirements
Breakfast
Plenary
Break-out
All rooms
Outside meeting room
Coffee / tea
Plenary
Break-out
All rooms
Outside meeting room
Soft drinks
Plenary
Break-out
All rooms
Outside meeting room
Mineral water
Plenary
Break-out
All rooms
Outside meeting room
Lunch
Plenary
Break-out
All rooms
Outside meeting room
Diner
Plenary
Break-out
All rooms
Outside meeting room
Plenary
Break-out
All rooms
Outside meeting room
Plenary
Break-out
All rooms
Outside meeting room
Agenda
Please complete and adapt where applicable
From
To
Description
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Room nights
No. of rooms required
Room type
CCheck-in date (dd/mm/yy)
Check-out date (dd/mm/yy)
Single
Double
Single
Double
Other requirements
