Request Group Pricing

Your E-mail Address:			Your Name:		Company Name:
Address:
Telephone Number:			Fax Number:
Meeting Name:				Meeting Type:

How would you prefer we communicate with you: Fax, e-mail or telephone?
Sleeping Rooms and Meeting Space Needed:
Date (mm/dd/yy)	Day	Sleeping Rooms/Nights	Meeting Time	Meeting Name	No in Meeting	Set-up of Meeting








Example:
Date (mm/dd/yy)	Day	Sleeping Rooms/Nights	Meeting Time	Meeting Name	No in Meeting	Set-up of Meeting



Are the dates flexible? Yes No
Is the pattern flexible? Yes No
How many times per year is the meeting held?
Who will sign the contract? Decision date? (mm/dd/yy)
Rate range?

Meeting History:
Month:	Year:	Hotel:		City:		State / Country:



Comments:
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