Harbor Magic

* First Name
* Last Name:
Title:
Organization Name:
* Address Line 1:
* Address Line 2:
* City
State or Province:
Zip or Postal Code:
* Country:
* Preferred Phone:
Alternate Phone:
* E-mail Address:

LOCATION INFORMATION:

Preferred Location:
Alternate Choice(s):
Meeting Budget: $
Meeting Planning, Registration, Onsite Management, Reservation/Housing needs:	Yes No

MEETING INFORMATION

* Meeting Name:
* Organization:
* Decision Date:

DATE INFORMATION

* Number of Guest Rooms:	(Peak Night)
Dates requiring guest rooms:	Arrival	Departure
* Preferred Date:
Alternate Date:
Alternate Date:
* Number of Actual Meeting days:
Are your dates flexible?	Yes No
Date pattern:	(example: Sunday - Thursday)
Is your date pattern flexible?	Yes No
Actual Needs / Comments:

GUEST ROOM INFORMATION

	Double/Double	King	Suite	Totals
Day 1
Day 2
Day 3
Day 4
Day 5
Totals
Additional Needs/Comments:

MEETING SPACE/CATERING INFORMATION (atleast one function is required)

Event 1
	Date:
	Function Name:
	Start Time:
	Stop Time:
	Setup:
	# of People:
	Food/Beverage:

Event 2
	Date:
	Function Name:
	Start Time:
	Stop Time:
	Setup:
	# of People:
	Food/Beverage:
Additional Needs/Comments:
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