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Contact Name:
Title:
Company/Association:
Name of Meeting:
Address:
City:
State:                Zip:  
Country:
Phone:
Fax:
Email:

GENERAL INFORMATION
Nature of Meeting:

Guest Room Block Information
Arrival Date:
Departure Date:
No. rooms per night:
Rooms are: Singles:   Doubles:
Triples:    Quads:   

MEETING SPACE INFORMATION

Meeting type:
  Date Start End Attendees Set-up
1
2
3
4

Fill in additional meeting space information here:
Dates Flexible?: Yes    No
Alternate Dates:
Audio Visual requirements:

RESERVATION PROCEDURE/BILLING INFORMATION

Reservations made by:
Individual call-in
Rooming list
Combined

Reservations paid by:
Individual pays own
Company pays all charges
Company pays room and tax only

Commissionable?: No   Yes 
(If yes, please insert IATA#)
 
Meeting/Banquet Charges payment by:
Advanced Payment
Direct Billed
Company Check
Credit Card


COMPETITION AND HISTORY
Competing Hotel(s):

Group History
Year:
City:
Hotel:
Name of Event:
Rate:
 
Year:
City:
Hotel:
Name of Event:
Rate:
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