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:		Singles:
Departure Date:		Doubles:
# of rooms per night:		Triples:
		Quads:

Meeting Space Information
Meeting type: 

	Date	Start Time	End Time	Attendees	Set-up
1.
2.
3.
4.
5.
6.
7.
8.

Fill in additional meeting space information here:

Dates Flexible?:  Yes      No

Alternate Dates:    

Audio/Visual requirements:

History
Competing Cities:

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