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Contact Information
First Name:
Last Name:
E-Mail Address:
Organization:
Address:
City:
State:
--Select State--
Alabama
Alaska
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Outside U.S.
Zip/Postal:
Phone Number:
Sleeping Room Needs
Do you need sleeping rooms for the attendees?
Yes
No
What is the maximum number of rooms you will need on any given night?
Arrival Date:
Departure Date:
Meeting/Event Information
Meeting/Event Name:
Event Type:
--Please Select--
Banquet
Conference/Meeting
Trade Show
Wedding Ceremony/Reception
No meeting rooms
Total Attendees:
Meeting/Event Room Needs
Do you need a main meeting/event room?
Yes
No
Number of people:
Start Date:
End Date:
Are your meeting dates flexible?
Yes
No
Alt. Arrival Date:
Alt. Departure Date:
Setup Type:
--Please Select--
Conference
Classroom
Exhibit Booths
Hollow Square
Reception
Rounds
Theater
U Shape
Other
Describe any special needs for this meeting/event room:
Do you have any audio/visual requirements for this room?
Yes
No
Internet Access
Wireless Internet Access
Flip Chart
35mm Slide Projector
Overhead Projector
Wireless Microphone
TV/VCR
LCD Projector
Projection Screen
Video Projector
Podium w/ Microphone
Do you need any additional meeting/event rooms?
Yes
No
Number of rooms:
Start Date:
End Date:
Do you need any food & beverage for your meeting/event?
Yes
No
Breakfast
AM Coffee Break
Lunch
PM Coffee Break
Dinner
Reception
Comments:
Conference Center
Floor Plan
Banquet Menu
Weddings
Wedding Planning
Referrals
Request for Proposal
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12222 New York Ranch Road Jackson California 95642 (800) 822-WINN