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Meetings and Events
Field marked with (
*
) are required
*
First Name:
*
Last Name:
Title:
*
Company Name:
*
Address:
Address:
*
City:
*
State/Province:
*
Zip/Postal Code:
*
Email Address:
*
Daytime Phone:
Fax:
Please fill in the information below if you have no attachment
General Information
Date by which the proposal must be received:
Name of Meeting/Event/Function:
Brief Description of Meeting/Event/Function:
Event Information
Arrival Date:
Departure Date:
Are these Dates flexible?
(yes/no)
Alternate Dates if any:
Meeting Room Block
Date
Start Time
End Time
No. PPL.
Setup Type
1.
classroom
conference
u-shape
hollow square
theater
pods/rands
2.
classroom
conference
ushape
hollow square
theater
pods/rands
3.
classroom
conference
ushape
hollow square
theater
pods/rands
4.
classroom
conference
ushape
hollow square
theater
pods/rands
5.
classroom
conference
ushape
hollow square
theater
pods/rands
Audio Visual Notes
Please indication any
special Audio Visual
requirements.
Accommodations Information
Arrival Date:
Departure Date:
Sleeping Room Block
Date
Singles
Doubles
Suites
Total
1.
2.
3.
4.
5.
Grand Total
Other Information
Private dining events description:
Hospitality suite requirements:
Other important requirements:
(ie: Golf, video conferencing, fitness center, etc.)
My preferred method of communication is:
Email
Home Phone
Mail
Fax
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52 East 41st Street | New York, NY 10017 | 212.338.0500
Copyright (c) Dylan Hotel 2004
