Organisation Name: *

Contact Name: *

Contact telephone number: *

E-mail address: *

Details for mia & AIM Accredited websites

Please complete this section carefully - the information you provide will be used in your mia & AIM Accredited website profile

Category

Region

Primary Contact Name: *

Position: *

Direct Telephone No: *

Generic office email address to be used for directory listings *

Direct Fax No:

Website Address: *

Description (maximum 254 characters) *

0/254 characters

Maximum Seating Capacity in any one room:

	Theatre	Cabaret	Classroom	Boardroom	Banqueting
Maximum	Theatre	Cabaret	Classroom	Boardroom	Banqueting

Number of Bedrooms:

Parking Available *

Additional Contacts

The mia frequently has news of events, training, research and monthly newsletters that could be of interest to yourself and your colleagues within your organisation, they will always have the option to unsubscribe. We will add your colleagues to our database and send them regular updates on membership and benefits, please add their details below:

General Manager/Managing Director:

Name: *

Position: *

E-mail: *

Telephone: *

Sales Team:

Name:

Position:

E-mail:

Telephone:

Name:

Position:

E-mail:

Telephone:

Conference Team:

Name:

Position:

E-mail:

Telephone:

Other Contact:

Name:

Position:

E-mail:

Telephone:

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