Conference Housing Request Form

Group/Conference Name*

Lead Contact Name*

First Last

Lead Contact Address*

Street Address Address Line 2 City State ZIP Code

Lead Contact Phone*

Lead Contact Email*

Estimated group size*

Number of Conference Staff/Leaders*

Will minors under the age of 18 be participants in your conference/group?*

Is your group tax-exempt?*

What is your requested date of arrival?*

What is your requested date of departure?*

Will you have staff/leaders arriving earlier or staying later than the main group?*

Will your group be needing parking or transportation services?*

What, if any, locations are your group interested in reserving for meeting space or individual events?*

Check all that apply.

What is your planned payment method?*