Company or Meeting Name
Address (*)
Third party (if applicable, i.e. Travel Agent)
Title (*) & First Name (*)City (*)
Title
Miss
Mrs
Ms
Mr
Dr
Last Name (*)
State or Province (*)
Position/Title
Zip or Postal Code (*)
Telephone No. (*) (Country Code, Area/City Code, Phone No.)
Country (*)
Fax No. (*)
Email (*)
Type of Event
Preferred Guest Arrival Date (*)
Please select
Conference
Meeting
Wedding
Special Celebration
Dinner
Preferred Date(s) of Event (*)
Preferred Guest Departure Date (*)
From:
To:
Alternate Date
Number of Meeting Rooms Required
Number of Guests (*)
Total Number of Single Rooms
Total Number of Double Rooms
Comments
Will you require the use of audio systems, visual aids, or business centre facilities?
Please select
Yes
No
Are arrival and departure dates flexible
Please select
Yes
No
Will you require catering or banquet services?
Please select
Yes
No
Please contact me to discuss further details
Please select
Yes
No
Prefered method of contact (*)
Tel:
Best time to contact you
Please select
Mornings
Afternoons
Evenings
Brochure request
Meeting information
Would you like to receive our email newsletter?
Yes:
How did you hear about us?
Please select
Referral
Travel agent
Advertising in a newspaper or magazine
Hotel review in a newspaper or magazine
Online site (community, site, newsletters, etc.)
Search engine
