People Growers of America, INC

The Nation’s Premier Corporate Event Planning Company

Received a Bid

People Growers of America Contact (if you have one)

Date Submitted

Broker Contact

Broker Phone Number

[honeypot fax-992 id:fax]

Broker Email

Host Corporation (Required)

Your Name (Required)

Your Position

Your Email Addresss (Required)

Your Phone Number (Required)

Your Fax Number

Address of Event Location

Date & Time of the Event

IndoorOutdoor *If outdoors, under canopiesYesNo

Location of Venue

Company Contact

Title

Phone

Email

No. of Employees Total

Employees on Site

Expected Attendance

Health Ins. (PPO or HMO, % if applicable)

Dental Ins. (PPO or HMO, % if applicable)

Vision Ins. (PPO or HMO, % if applicable)

Chiropractic Coverage: (PPO or HMO, % if applicable)

Industrial Clinic

Tuition Reimbursement (amount per employee)

Is this open enrollment?Are you including biometrics?Do you want people growers to organize biometrics?Do you want people growers to organize shots?

Which exhibitors do you already have in the event

Parking and Security Instructions

Special clothing or shoe requirements

Do you need bids for biometric screenings? If so, list below:

Total cholesterolHDL/LDL cholesterolGlucoseBlood pressureBody fatOther:

Other