PERSONAL INFORMATION
*denotes required field
*First Name:
*Last Name
*Email:
*Title:
*Company:
*Address:
*City:
*State/Province:
*Zip Code:
*Phone:
Fax:
Mailing List:

GENERAL INFORMATION
Date by which proposal must be received:
Name of Meeting/Event/Function:
Brief Description of Meeting/Event/Function:

EVENT INFORMATION
 
Start Date:
End Date:
Are these dates flexible? Yes No
What are your alternate dates?
Meeting Room Block
Date Start Time End Time No. of People Setup Type
1.
2.
3.
4.
5.
Audio/Visual Notes

ACCOMMODATIONS INFORMATION
 
Arrival Date:
Departure Date:
Number of Guest Rooms
  Date Singles Doubles Suites Total
1.
2.
3.
4.
5.
6.
7. Grand Total:
Desired Room Rate:

OTHER INFORMATION
Food and Beverage Preferences:
Continental Breakfast-same room Continental Breakfast-separate room
Morning Break Lunch-same room
Lunch-separate room Afternoon Break
Dinner Reception/Banquest
Other important requirements:
(i.e. -- golf, teambuilding, exhibit space, fitness center etc.)
Where should we send our response to you?
Phone Fax
Mail Email
 
VILLA ROMA • 356 Villa Roma Road • Callicoon, NY 12723
Telephone (845) 887-4880 • Toll Free: 1-800-533-6767
URL: http://www.villaroma.com

Web Site by Croft Communications & Advertising and Web Design

 

   
 

 

 

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