The Energy Annex — Submit a Bid

Please complete the form below and be sure to fill out all of the *required fields.

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Full Name*

Address*

Company*

Address 2

Phone*

City*

Fax*

State*

Email*

Zip*

Description*

Dates & Times

Room Needed

Living Room 1 (Viewing room capacity 8-10)	Conference Room (Capacity 25)
Living Room 2 (Viewing room capacity 20-25)	Not Sure (I'd like help determining my needs)
Living Room 3 (Viewing room capacity 8-10)

Would you like us to handle recruiting for you? yes no

Recruiting Specifications:

1123 West Washington Boulevard , Floor 3 Chicago, IL 60607 Phone: (312) 733-2639 Fax: (312) 733-2551 E-mail: info@energyannex.com