By submitting information to Pollstar you affirm that if you are providing personal information (e.g. names, e-mail addresses) on behalf of other individuals at your company, you have the consent of those individuals, and you certify that you are complying with any and all applicable privacy and data protection laws in transferring such information to Pollstar. You further acknowledge and agree that Pollstar may use all information provided above in accordance with Pollstar’s privacy policy, which is located at www.pollstar.com/privacypolicy

Facility Management Update Form

Company Name

Physical Address Line 1:

Physical Address Line 2:

Physical Address City:

Physical Address State:

Physical Address Zipcode:

Physical Address Country:

Mailing Address Line 1:

Mailing Address Line 2:

Mailing Address City:

Mailing Address State:

Mailing Address Zipcode:

Mailing Address Country:

Business Phone:

Business Fax:

Company Email Address:

Website:

Management: Please list executives with direct phone numbers and titles.

Name (1)

Name (2)

Name (3)

Name (4)

Name (5)

Direct Phone

Email

Venues: please list all venues that your company currently manages.

Venue (1)

Venue (2)

Venue (3)

Venue (4)

Venue (5)

Phone

City

State

Attach additional venue listings.

Are you interested in advertising opportunities?

Yes

No

Please send advertising information and rate card to:

Verified By:

Date:

Facility Management Update Form

List of Forms: