Arrival Date

Departure Date

Arrival and Departure Dates are: Group Arrives/Departs together Arrival/Departure Date are flexible

Number of Rooms

Requested Room Types King Non-Smoking King Smoking Two Beds Non-Smoking Two Beds Smoking ADA Room Non-Smoking ADA Room Smoking Meeting Room Reception Room House Run

Room Distribution / Requests Please explain how many rooms of each type your prefer, and if you have any special request.

Group Name

Organization

Address

City

State

ZIP

Contact Name

Contact Phone

Office Phone

Office Fax

E Mail

Organization Website

Payment Schedule Organization pays for entire group Each member pays for self

Other Comments