PRIME2010 | Hosted Planner Qualification Form

: PRIME2010 Business Exchange, Kohala Coast, Big Island of Hawai`i | : Post-Site Excursions

As PRIME2010 is limited to a select group of qualified planners, please insure that we receive the Hosted Planner Qualification Form prior to August 1, 2010.

YES, I would like to attend PRIME2010 as a Hosted Planner. Following is my completed Hosted Planner Qualification Form.		NO, I cannot attend PRIME2010. Please send invitation to:
Name		Name
Organization		Organization
Company Title		Company Title
Mailing Address		Mailing Address
City		City
State		State
Zip Code		Zip Code
Business Phone		Business Phone
Fax		Fax
E-mail Address		E-mail Address
Web site
I prefer to be contacted via:	Telephone Fax E-mail Letter	I prefer to be contacted via:	Telephone Fax E-mail Letter

Do your meetings, conventions or incentive programs go offshore (including Hawai`i, Asia, Australia, New Zealand or anywhere in the Pacific)? Y or N
If so, please list the most recent offshore destinations used:

	Location	Hotel	# of Attendees	Month/Year (mm/yy)
1)
2)
3)

Please check the destinations, which are under consideration for a future meeting, convention or incentive trip.

Big Island of Hawai`i	Kaua`i	Lana`i	Maui	O`ahu
New Zealand	Macau	Malaysia	Fiji	Singapore
Hong Kong	China	Japan	Korea

How many attendees?
Date under consideration (month/year) Decision date

List already booked future events for 2010 and beyond:

	Location	Hotel	# of Attendees	Month/Year (mm/yy)
1)
2)
3)

Please include a brief description of your site-selection/negotiation responsibilities:

Please provide a recap(s) of your organization’s meeting, conventions, events, or incentive programs and it’s potential for a PRIME participating destination. Please also include information on the global economic affect on your organization’s present and future meetings & incentives:

How did you hear about PRIME2010?

	PRIME2010 Invitation
	HVCB Referral
	Other: please specify

By completing this Hosted Planner Qualification Form, I acknowledge that I am authorized, by the above organization, to represent and attend PRIME2010 on its behalf and that all information provided herein is truthful and accurate.

I agree to this statement (full name)

If you have any questions, please e-mail prime-aloha@hawaii.rr.com or call (808) 597-1179.