Meeting Request Form

Complete the following information form and simply click the "submit" button or if
you prefer, copy and fax it to us at (860) 832-9844:

Company
 

Name:
Street Address:
City:
State:
Zip:
Phone:
Fax:
Contact Person:
E-Mail:

Air Information

Passenger Name:
Passenger Dept. or Relationship to Company:    
Departure City:
Arrival City:
Outbound Travel Date:
Arrival Time:
Return Travel Date:
Departure Time:
Specific Airline:

 

Payment Information

If other then passenger's own credit card, please provide name on card, number & exp. date

 Name:
Credit card number:
Expiration Date:

 

Transportation Information

 Car Rental:
Shuttle Transportation:
Sedan or Limo:
If independently booked by passenger
please advise.		 Yes   No

 

Hotel Information

Hotel Name:


Bedrooms

Name of Show Attending:
Check-In Date:
Check-Out Date:
How Many Rooms:
Number of Smoking or Non-Smoking:
Payment Information:


Meeting Rooms

Date & Time:
How Many Rooms:
Size of Meeting Room:
Set-Up of Room:
How Many People:
AV Equipment
Food & Beverage:
Payment Information:


Are there other areas we may assist you with?

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