*Full Name:

Company (if applicable):

*E-mail:

Address:

City/Town:

State/Prov.:

Phone:

Best time to contact you:

Fax:

Dates of Event or Retreat:

Arrival Date:

Departure Date:

Would you consider alternative dates?
Yes, I would consider alternate dates
No, my dates are set

Alt. Start Date:

Day

Alt. Depart Date:

Day

Number of people expected to attend:

Type of group (please choose one):

Workshop/Retreat:
Wedding:
Reunion:
Company Retreat:

Massage:
Day use event:
Health Oriented:
Party/Gathering:
Other:

Do you need assistance coordinating your event?
Yes: No:

Do you need a caterer?
Yes: No:

Questions and comments: