| Company or Meeting Name |
Address (*) |
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| Third party (if applicable, i.e. Travel Agent) |
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| Title (*) & First Name (*) |
City (*) |
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| Last Name (*) |
State or Province (*) |
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| Position/Title |
Zip or Postal Code (*) |
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| Telephone No. (*) (Country Code, Area/City Code, Phone No.) |
Country (*) |
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| Fax No. (*) |
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| Email (*) |
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| Type of Event |
Preferred Guest Arrival Date (*) |
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| Preferred Date(s) of Event (*) |
Preferred Guest Departure Date (*) |
From:
To:
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| Alternate Date |
Number of Meeting Rooms Required |
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| Number of Guests (*) |
Total Number of Single Rooms |
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| Total Number of Double Rooms |
Comments |
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| Will you require the use of audio systems, visual aids, or business centre facilities? |
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| Are arrival and departure dates flexible |
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| Will you require catering or banquet services? |
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| Please contact me to discuss further details |
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| Prefered method of contact (*) |
Tel: Fax: Email: |
| Best time to contact you |
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| Brochure request |
Meeting information Hotel information |
| Would you like to receive our email newsletter? |
Yes: No: |
| How did you hear about us? |
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