Group Name:

*Contact Name:

Ms. Mrs. Mr.

*Address 1:

Address 2:

*City:

*State:

*Zip:

Phone:

(000-000-0000)

Fax:

(000-000-0000)

*Email Address:

Type of Group:

Select Business Tour School Group Senior Group Adult Group Church Group Sports Team Family Reuniun Class Reuniun Wedding Social Other Est. # of Attendees:

Country:

Comments:

When do you expect to make a decision regarding this group? Please list your decision date: mm/dd/yyyy

Preferred Contact Method: Phone Fax Email

Best time to call: AM or PM

Are the above dates firm? Yes No

If your group is flexible with arrival and/or departure dates please list alternate dates below.

What is the total number of persons in your group?

Adults: Childeren 18 and under:

Please list the appropriate number of rooms adjacent to the bed types your group will require.

Will your group require baggage handling? No Yes

Can you share with us what your budget is per room and per night?

Will you require any meeting rooms? If so, please list below.

Will you require a room setup?
Please specify from the choices below.

Classroom U-Shape Conference Hollow Square Theater Rounds Social Choose Room Set Up

Will you require any meals, breaks or receptions?
If so, please list below.

Will you require any audio/visual equipment?
If so, please list below.

Please list any activities that would interest your group and we will be happy to send you additional information.

Finally, please list any special group needs below.

Thank you for taking the time to complete this form, and for your interest in the Ramada Chilton Conference Center. Once you have completed the above form "click" on the SUBMIT button below and your request will be sent.

Note: The personal information you provide above is for the exclusive use of the Ramada Chilton Conference Center, and will never be shared, rented or sold to any third parties.