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Name of Group:
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Person to Contact:
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Street:
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City:
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Country:
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Home Telephone:
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Fax:
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Province/State:
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Postal/Zip Code:
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Work Telephone:
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E-mail Address:
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Arrival Date:
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Departure Date:
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Starting Time:
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Ending Time:
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Number of
Participants:
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Style of Set-up:
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Overnight
accommodations?
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Type of Event:
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Do you require
A/V equipment?
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Yes No
Television
VCR
Flipchart
Podium and Microphone
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Would you require food and beverage service?
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Yes No
Please note that all food and beverage services in the meeting rooms must be provided by the hotel.
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Any Additional Requirements or Comments:
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