Thank you for completing the Ven

Thank you for completing the Venue Data Form. Completing this form permits us to quickly and accurately evaluate the fit between
our needs and your facilities. In addition, completing this form directly and in detail give us some indication of your style as a business partner. We look forward to reviewing the data you provide and potentially working with you soon.

Venue Data Form

Name of Facility

Facility Street Address

Town, State
Zip

Name of Contact Person

Contact Position/Title

Email of Contact Person

Contact Phone Number

Please provide as much of the following information as possible.

Room Sizes Available
(classroom-style seating #)*

Corresponding Room
Rental Fees

* Room sizes needed: (a) 10-35 with seating and tables to write, (b) 20-60 with seating and tables to write.

Continental Breakfast/Coffee
Per Person Rate


Low Estimate	High Estimate

Afternoon Snack/Coffee
Per Person Rate


Low Estimate	High Estimate

Lunch
Per Person Rates


Low Estimate	High Estimate

Do you have a food/beverage minimum expenditure above which you waive the costs of the room?

If so, what is the minimum?

Additional Explanation
Regarding Food & Beverage
Options

Fee for Powerpoint
Projector

Fee for
Projector Screen

Full-day Parking
Rates

Description

Fee

Other Relevant Fees
& Services

Discounted room rate
for attendees?

Discounted room rate
for presenter/organizer?

Other incentive amenities
for presenter/organizer?

Other Comments

Please be sure to hit the Submit button
below or this data will be lost!

Thank you!

Information & materials can be mailed to:

White Pine Institute
Joel Guarna
25 Middle St
Portland, ME 04101