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* denotes a required field. * Organization Name:    * Meeting Name:    Prefix :    No Prefix Mr. Ms. Mrs. Miss Dr. Rev. * First Name:    * Last Name:    * Title:    * Address:    Address:    * City:    * State:   AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming * Zipcode:    * Phone:    * Email:    Facility Used:    Event Dates:    # of Overnight Rooms Booked:    Please answer the following using a scale of 0 to 5, where applicable. 0 = lowest score, 5 = highest score: Staff cooperation during the planning of the function: Convention and Visitors Bureau:    Select One 0 1 2 3 4 5 Not Applicable  Hotel / Motel:    Select One 0 1 2 3 4 5 Not Applicable  What assistance did you receive from the Convention & Visitors Bureau? Brochures Registration Publicity Tours/Itineraries Housing Shopping Information Shopping Coupons Other If Other, please specify:    Was the above handled in a polite, helpful manner?     Select One 0 1 2 3 4 5 Not Applicable  Please rate overall comments you received from event attendees on the following: Hotel    Select One 0 1 2 3 4 5 Not Applicable  Restaurants:    Select One 0 1 2 3 4 5 Not Applicable  Attractions/Events:    Select One 0 1 2 3 4 5 Not Applicable  Shopping:    Select One 0 1 2 3 4 5 Not Applicable  Hospitality:    Select One 0 1 2 3 4 5 Not Applicable  Would you consider your Alamance County Event a success?     Select One 0 1 2 3 4 5 Not Applicable  Would you recommend that your group return for a future function?     Select One 0 1 2 3 4 5 Not Applicable  Comments / Suggestions :