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General Information  
Organisation Name:
   
Group Name:
   
Type of Group:
   
How did you hear about us?
   
   
Group Dates  
Arrival:    
Departure:    
   
Alternative Dates  
Arrival:    
Departure:    
   
Are you considering
another location?		 yes   no
   
If so, where?
   
What is your decision date?    
   
Feature Packages  
I am interested in:  
 
   
Contact Information  
Name:
E-mail:
Address:
City:
Province or State:
Postal or Zip Code:
How would you like to
be contacted?
Phone: (include area code)  
Fax: (include area code)  
   
   
Attendance  
Adults:
Children:
   
Accommodation Needs  
Hotel Rooms: choose what type of rooms you require
suites  single   double   triple
Minimum # of Rooms:
Maximum # of Rooms:
   
Meeting Requirements  
Will meeting space be
required?		 yes   no
Will Food and Beverage
services be required?		 yes   no
   
Recreation Preferences  
   
Transportation Needs  
   
   
Comments