If you would like assistance in planning a meeting, please fill out the entire form below. The form will assist the Conference Coordinator in scheduling meeting space and housing for your conference group.

Ways to submit your event information:

1. Email this form to us by clicking on the submit button, after filling out the form online.
2. Fax this form to us by filling it out and sending it to (540)-568-6444.
3. Call the Conference Coordinator at (540)-568-2328. Please make sure you have filled out this form and have the printed copy in front of you, so you can reference it when specifying your conference needs.

Event Name: 

Type of Event:  Conference Retreat Board Meeting Sports Camp Meeting Banquet Seminar Training     Other: 

Estimated Attendance:   (Numerical digits only, please.)

Event Start Date:  January February March April May June July August September October November December   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   2005 2006 2007 2008 2009 2010 2011 2012

Event End Date:  January February March April May June July August September October November December   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   2005 2006 2007 2008 2009 2010 2011 2012

Alternative Dates:

Will your group require housing?  Yes   No
If yes, will you be staying on-campus or at a hotel?  On-Campus   Hotel

For more information about these areas, please click on the following links:

• Meeting Facilities and Set-Up Information
• Catering Services Information
• Dining Information

	Arrival Day	Standard Meeting Day	Standard Meeting Day 2	Departure Day
Date
Meeting Name
General Session
Start Time
End Time
# of People
Breakout Session #1
# of Rooms
Start Time
End Time
# of People/Room
Breakout Session #2
# of Rooms
Start Time
End Time
# of People/Room
Breakout Session #3
# of Rooms
Start Time
End Time
# of People/Room

Audiovisual/set-up needs for your general sessions and breakouts.

Will you be scheduling any catered meals?  Yes   No

Special Requests/Comments

Please check the following facilities your conference group plans to use.

Fields	Gymnasium	Pool	Racquetball Courts
Tennis Courts	Turf (Soccer/Field Hockey/Lacrosse)		Volleyball Courts

Please specify dates/times/description of scheduled activities (planned):

Additional requests:

Required fields are marked with an asterisk: *

*First Name:      *Last Name: 

*Company/Organization Name: 

*Address: 

*City: 

*State: 

*Zip Code: 

Country: 

*Daytime Phone: 

Secondary Phone: 

Fax: 

Email Address: 

What is the most convenient way to contact you? 

If by phone, what is the most convenient time (EST)? 

*How did you hear about us?  Magazine Friend Web Tradeshow Repeat Customer     Other: