Conference Center

1) Contact Information

First Name

Last Name

Company

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Fax

2) General Meeting Information

Meeting Name

Total Attendees

Arrival Date

Alt. Arrival Date

Departure Date

Alt. Departure Date

3) Sleeping Room Requirements

Please enter the maximum number of each type of room you will need. Before sending this request, you will be given the opportunity to adjust the number of each type of room needed for each night. Enter 0 if you need none of a particular type of room.

Single (king-size bed) Double (2 beds) Suite

4) Meeting Room Requirements

Start Date

End Date

# of People

Setup Type

Describe any special needs for these meeting rooms:

5) Audio / Visual Requirements

Check any equipment you will need in the meeting room.


Flip Chart	Overhead Projector	Screen

Cable TV	LCD Projector (In Focus)	Video Projector / VHS

Audio Conferencing	Video Conferencing	Wireless Microphones

Laptop Computer	CD Player

6) Food & Beverage Requirements

Check all F&B functions that may apply. Before sending this request, you will be given the opportunity to remove functions from specific days.

Breakfast	AM Coffee Break	Lunch

PM Coffee Break	Dinner	Reception

Is there any other information you'd like to provide about your Food & Beverage needs?

7) Additional Comments