LVCVA International Delegation Requests

Name of Delegation*:

Country of Origin*:

Requested Date(s)*:

Total Number of People*:

Titles of Participants*:

Primary Areas of Interest*:

Is your group meeting with any other entities while in Las Vegas?:

If yes, please list

Do You Wish to Tour the Las Vegas Convention Center?*:

Yes No

First Name*:

Last Name*:

Title*:

Phone*:

Email*:

* Indicates a required field.