<p> Lead Referral Form</p><p>Referred By (Name/Property/ Today’s Date: </p><p>Email/Phone):</p><p>Receiving Hotel(s): CLIENT/ORGANIZATION INFORMATION Company/Organization/ </p><p>Account: Third Party Intermediary: </p><p>Meeting/Event: </p><p>Preferred Dates & Pattern: Flexible? Alternate Contact Name: Dates: Title: Phone: </p><p>Email Address: Fax: Address:</p><p>City, State, Zip: EVENT INFORMATION Day Sun Mon Tue Wed Thu Fri Sat Sun</p><p>Date </p><p>Rooms </p><p>GENERAL INFORMATION Budget Room Rate Commissionable? % Single/Double # of Exhibits Booth or Tabletop? % AGENDA INFORMATION Day/Date Start End Function Types w/ F&B # of People Room Set-up Style</p><p>*** Attach client correspondence or RFP to e-mail if possible – if doing so –no need to fill out Agenda section*** COMMENTS / HOT BUTTONS / SPECIAL INSTRUCTIONS</p><p>INTERNAL USE ONLY - LEAD ACCEPTANCE/COMMISSION AGREEMENT: Properties accepting this lead agree to and understand that this opportunity will be commissioned to the sending Sales Professional at the rate of 5% of room revenue if the group is referred on a direct basis and 2.5% if the lead involves a third part intermediary. The individual that accepts this lead is authorized to do so on behalf of the property(s) they represent. The commission payable to the sending Sales Professional is calculated on total actualized gross revenue. Commissions are processed via the receiving Hotel accounting office upon actual consumption. ATTN: Please send a copy of all leads sent to Danielle Kijanczuk, Sales Systems Analyst, [email protected].</p>