Museums and Cultural Institutions Benchmarking Group - Registration

The undersigned institution wishes to participate in MUSEUM BENCHMARKS 2010, Survey of Facility Management Practices, and agrees to:

  • Provide complete and accurate data in a timely manner.
  • Maintain the confidentiality of the survey questionnaire and survey data.
    • Use the survey data for internal institutional purposes only.
    • Not provide the survey questionnaire or survey data to any other institutions or individuals.

Please use the form below to register your site. If you are registering for more than one site please complete a separate form for each site.

Facility Issues will E-mail your site submittal code, to be used in submitting your site data, to the E-mail address provided with your registration.

First Name:
Last Name:
Institution:
Address:
City, State Zipcode:
Country:
Phone number with area code:
Fax number with area code: 
Email:

Fees:
The cost to participate in the Museums and Cultural Institutions  Benchmarking Survey (base services) is:

  • $1875 REDUCED TO $1475 (US) per site for returning 2009 participants

  • $975 for non 2009 participants

Payment is due within 45 days of your registration.

Number of benchmarking sites:                                
Enter 1 if you will be submitting one set of data.

If you chose "Credit Card" follow the instructions below before clicking the submit button.

Occupancy Surveys:
Do you want Facility Issues to create a "Customer Satisfaction Survey" for your site, analyze the data, and include the summarized data responses in the final Benchmarking Survey? The cost per site is an additional $600.

Number of occupancy survey sites:                          
Enter 0 if you do not need an occupancy survey
Enter 1 if you will be submitting one set of data.

If you chose "Credit Card" follow the instructions below before clicking the submit button.

NOTE FOR CREDIT CARD PAYMENTS ONLY:

If you are making payment by credit card:

  1. Print a copy of this form now - before clicking the submit button

  2. Write in the following information

  3. Fax to: 1-928-213-9763

Credit card number: __________________________________________________

Expiration Date: ____ Month   ____ Year

Name on card: ______________________________________________________

Total amount to be charged: $__________ (US)

Email address for receipt (if different than the above registration email address):

__________________________________________________________________ 

 

Facility Issues ©  2010

Voice: (928) 213-9767
Fax: (928) 213-9763

Mailing Address: PO Box 1447, Flagstaff, AZ 86002 --1447 USA