Contact Information & Form

Corporate Office:

Corporate Event Interactive, Inc.
400 E. Randolph Street, Suite 3725
Chicago, IL 60601
Phone: 312-540-1000
Fax: 312-540-9900

info@corpevent.com

Your Contact Information

*First Name:
Please type your first name.

*Last Name:
Please type your last name.

*Phone:
You must provide a phone number.

*Email:
A valid email address is required.Invalid format.

Company:


Position:


Street Address:


City:


State/Province:


Zip/Postal:


Country:


Cell:


Extension:


Fax:

Event Request:

Date(s) of Event:


Time of Event(s):


Number of Participants:


Location/Venue:


Event Room:


Budget (If known):


Length of Time Available For Setup:


Participant Makeup:


Client/Event Website:



What are the primary goals of your event/program?


What would you like CEI to provide for your event/program?


What has your group done in the past for this event/program?


What is the make-up (age, position in the organization, energy level, etc.) of your group?

Additional info about your event/program:

Where did you hear about CEI?

Current CEI client

Email Communication:

Found Website Through:


Referred By:


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