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Your Information
*
indicates required field
*
First Name
*
Street Address
*
City
*
Zip/Postal Code
*
Phone Number
(XXX-XXX-XXXX)
*
Email Address
*
Last Name
Street Address (cont’d)
*
State
Choose your state
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Country
Fax Number
(XXX-XXX-XXXX)
How would you prefer we communicate with you?
Phone
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Email
Event Profile
Event Name
What are the goals/purposes of this event?
What are your three most important considerations when selecting a hotel for this event?
Arrival Date
Are these dates flexible?
Yes
No
What is your decision date?
Departure Date
Is the pattern flexible?
Yes
No
Dates & Room Block
Please indicate your required room block, by day:
Singles
Doubles
Suites
Total Rooms
Day 1
Day 2
Day 3
Day 4
Day 5
Description of Event/Meal Requirements/Space Requirements
Please tell us about your event space requirements by filling in the form below...
Day/Date
Function Time
Description of Event
Setup of Function
Estimated Sq Ft Needed
# of People
...or paste your agenda here:
Other Event Needs
Please indicate other needs (Audio Visual Services, Internet connectivity, exhibit space, registration desks, business services, entertainment, floral, themed décor, etc.) here:
Sports and Recreation
Please indicate what type of activities you are planning and the number of attendees expected to participate in each:
Day 1
Day 2
Day 3
Day 4
Day 5
Golf
Tennis
Spa
Other
Additional Comments