Business Dopo Cinque Host Reservation Form

Thank you for your interest in hosting a Business Dopo Cinque with the CIBPA HH.

Please fill in the information below so that we may promote your upcoming event.

Contact Information

Company Name *

Telephone *

Contact Person *

Email *

If you are having a CIBPA HH member co-host:

Company Name

Event Information

Address of Venue (and directions if necessary)

Brief Description of Event (CIBPA HH reserves the right to edit description to fit ad)

Proposed Event Date

Confirmation

Signature *