Contact Information:

Your Name: Company Name:
Phone Number: Ext. Fax Number:
Email Address:

Event Information:

Event Name: Location:

Dates: thru # of Attendees: (expected)

General Session: Services/Equipment Needed: (Check all that apply)

General Lighting (Stage-wash, podium, head table, ...) Moving Lights (ballyhoo, etc)
Audio (Amps, Speakers, etc.) # of wireless lav mics # of wireless handhelds
Head Table w/mics and stands (# at head table)
Podium Podium Speaker Timer Staging Risers : FT. by FT. (Stage)
Record General Session Audio?

Video Projection 35mm Slide Projector High-Intensity Overhead Projector
Confidence Monitor (Teleprompter)
Using Microsoft PowerPoint Windows PC Mac
Screen Size: Largest possible 10.5'x14' 9'x12'' 7.5'x10' 6'x8' other
Video Formats: BetaSP 3/4" DV/mini-DV s-VHS VHS (1/2") Other

Image Magification (Your meeting projected onto a large screen AS IT HAPPENS)
# of Cameras Record Video of Live Event to Tape?

Webcast Event? No Live Webcast On-Demand Streaming BOTH

Breakout Sessions: Services/Equipment Needed: (Check all that apply)

# of Breakouts All run simultaneously

BREAKOUT 1 # of attendees Video Projection Screen w/Full Dress Tripod Scr.
35mm Projector Overhead Projector Laptop # of FlipCharts w/Markers
Audio Package # Wireless mics Record Audio? (Notes)
BREAKOUT 2 # of attendees Video Projection Screen w/Full Dress Tripod Scr.
35mm Projector Overhead Projector Laptop # of FlipCharts w/Markers
Audio Package # Wireless mics Record Audio? (Notes)
BREAKOUT 3 # of attendees Video Projection Screen w/Full Dress Tripod Scr.
35mm Projector Overhead Projector Laptop # of FlipCharts w/Markers
Audio Package # Wireless mics Record Audio? (Notes)
BREAKOUT 4 # of attendees Video Projection Screen w/Full Dress Tripod Scr.
35mm Projector Overhead Projector Laptop # of FlipCharts w/Markers
Audio Package # Wireless mics Record Audio? (Notes)
BREAKOUT 5 # of attendees Video Projection Screen w/Full Dress Tripod Scr.
35mm Projector Overhead Projector Laptop # of FlipCharts w/Markers
Audio Package # Wireless mics Record Audio? (Notes)
BREAKOUT 6 # of attendees Video Projection Screen w/Full Dress Tripod Scr.
35mm Projector Overhead Projector Laptop # of FlipCharts w/Markers
Audio Package # Wireless mics Record Audio? (Notes)

(Please include any additional Breakout Sessions in the Closing Comments section...)

Additional Options: (Check any that you may require or have interest in...)

Speaker Ready Room: Tripod Screen Laptop Laser Printer 35mm Slide Proj.
Office: Laser Printer Laptop Flip Charts w/Markers
Dinner/Banquet A/V Requirements Off-Site/Satellite Location A/V Requirements
Evening Entertainment A/V Requirements

VIDEO PRODUCTION:

Pre-Production (Opening/Closing Videos, Speaker Support, Training Elements...)
Post-Production (Archive, Candids Modules, Interactive CD-Rom/DVD...)

Streaming Internet Video and Audio Web-Casting (Live or Live-to-Tape)
DVD-Authoring Video Format Conversion Custom MS Powerpoint Slide Creation
Duplication Services

Additional Notes/Closing Comments:

You can also UPLOAD a file containing additonal information (Room diagrams, graphics, etc)

When the form is completed to youre liking, Please click Submit Button--->

Please feel free to send any additional information to:
bidrequest@goaggressive.com

Thank you in advance for the information. You will be contacted shortly.
All of us at Aggressive Media are looking forward to working with you...