Organization Name:
Group Name:
Type of Group:	Meeting Group    Leisure
How did you hear about us?
Group Dates:	Arrival: Departure:
Alternative Dates:	Arrival: Departure:
Are you considering another location?	No    Yes
Contact Name:
Email:
Address:
City:
State:
Zip Code:
How shall we contact you?	Phone    Fax    Email    Postal Mail
Phone:
Fax:
Attendance:
Adults:
Children:
What is your decision date & who makes it?

LODGING REQUIREMENTS

Occupancy:	Hotel Rooms One Bedroom Two Bedroom Three Bedroom Four Bedroom
Minimum Rooms:	/ per night
Maximum Rooms:	/ per night

MEETING REQUIREMENTS

Will meeting space be required?	No    Yes
Will food and beverage services be required?	No    Yes
Comments

FUNCTION REQUIREMENTS

	Day/Date Function Food/ Beverage Set-Up # People Time