Fields marked with an * are required.

CONTACT INFORMATION

* First Name:
* Last Name:
Title:
Organization Name:
* Address Line 1:
Address Line 2:
* City:
State or Province:
Zip or Postal Code:
* Country:
* Preferred Phone:
Alternate Phone:
* E-mail Address:

LOCATION INFORMATION
Preferred Location:
Alternate Choice(s):
Meeting Budget: $
Meeting Planning, Registration, Onsite Management,  Reservation/Housing needs:
 Yes No

MEETING INFORMATION
* Meeting Name:
* Organization:
* Decision Date::

DATE INFORMATION

* Number of Guest Rooms:
 (Peak Night)
Dates requiring guest rooms:
Arrival
Departure
* Preferred Date:
Alternate Date:
Alternate Date:
* Number of Actual Meeting Days:
Are your dates flexible?
 Yes No  
Date pattern:
 (example: Sunday - Thursday)
Is your date pattern flexible?
Yes No  

Additional Needs/Comments: 


GUEST ROOM INFORMATION
 
Double / Double
King
Suite
Totals
  
Day 1
 
Day 2
 
Day 3
 
Day 4
 
Day 5
 
Totals
 
Additional Needs/Comments: 

MEETING SPACE/CATERING INFORMATION (atleast one function is required)
Event 1
    
Date:
Function Name:
Start Time:
Stop Time:
Setup:
# of People:
Food/Beverage:
Additional Needs/Comments: 

 


1 Orms Street, Providence, RI 02904

Tel: 401.272. 2400 • Fax: 401.273.2686

Toll-Free Reservation: 866.807.2171


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