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Group Request Form

Boxes marked (*) are mandatory.
Contact Information:
* First Name
* Last Name
Company Name
 
Address
Address 2: Apartment/Suite
* City
* State
Zip Code
 
* Telephone Number
Fax
* Email
Preferred contact method

Where did you hear about us? (please select all options that apply)

Radio (specify)
Magazine (specify)
Billboard (specify)
Newspaper (specify)
Email (specify)
Trade Show (specify)
Web Search (specify)
Referral (specify)
Direct Mail (specify)
Other (specify)

Event Information:

* Event Name

Event and Guest Rooms Rooms Only Events Only
Arrival Date
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Departure Date
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Desired Room Rate


Amount ( $ )
Alternate Arrival Date
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Alternate Departure Date
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Dates Flexible   Yes No

Notes:
Please tell us about the events you plan to have during your program. This will assist us in preparing your proposal.

Meeting Rooms:

Room #1:    
Beginning Date
Click Here to pick a date
Ending Date
Click Here to pick a date
# of attendees
Meal
Setup
 
Room #2:    
Beginning Date
Click Here to pick a date
Ending Date
Click Here to pick a date
# of attendees
Meal
Setup
 
Room #3:    
Beginning Date
Click Here to pick a date
Ending Date
Click Here to pick a date
# of attendees
Meal
Setup
 
Room #4:    
Beginning Date
Click Here to pick a date
Ending Date
Click Here to pick a date
# of attendees
Meal
Setup
 
Room #5:    
Beginning Date
Click Here to pick a date
Ending Date
Click Here to pick a date
# of attendees
Meal
Setup
 
Room #6:    
Beginning Date
Click Here to pick a date
Ending Date
Click Here to pick a date
# of attendees
Meal
Setup
 

Meeting Room Notes:

Guest Rooms:

 
Single
Double
Suite
Day 1
Day 2
Day 3
Day 4
Day 5
Total


Additional Comments:

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