Group/Event Request Form

Contact Information

*REQUIRED FIELDS

Company/Group Name

Meeting Name:

Contact Name

Title:

Address:

City:

State:

Zip Code: ex: (12345)

Note: If you entered a P.O. Box, please enter the Zip Code of your physical address:

Telephone ex: (123-456-7890)

Fax ex: (123-456-7890)

E-mail

Overnight Guestrooms

Arrival Date: ex: MM/DD/YYYY

Depart Date:

Flexibility with Dates: Yes No

If yes, please list alternate dates:

Number of Rooms
(per night):

Room Types Requested:

Standard
Deluxe King

VIP Level
Penthouse Suite

Meeting Space

Set Up:

Other

Number of Attendees:

Special Requests or Requirements:

Comments