| |
Note that all fields are required.
Please indicate "none" or "n/a" if the information for any field is not currently available. |
| Contact Information |
| First Name: |
|
| Last Name: |
|
| Title: |
|
| Your Organization: |
|
| Street Address: |
|
| City: |
|
| State: |
|
| Zip: |
|
| Country: |
|
| Daytime Phone: |
|
| Fax: |
|
| Email: |
|
| Camp or Conference Information |
| Title of Camp/Conference: |
|
| Briefly describe the purpose of your camp/conference: |
| |
| Primary Participants: |
|
| Expected Attendance: |
|
| Requested Start Date of Your Event: |
| First Choice: |
|
|
|
|
|
| |
| Second Choice: |
|
|
|
|
|
| |
| Third Choice: |
|
|
|
|
|
| |
| Are These Dates Flexible? |
Yes
No
|
| Site Selection Deadline Date: |
|
| Have You Previouslyl Met at Nyack College? |
|
Yes
No
Not Sure
|
| If Yes, Please Give Details: | |
| If No or Not Sure, How Did You Hear About Conference Services? |
| |
| Are You Interested in the Overnight Linen Package? |
|
Yes
No
|
| Linen package includes one blanket, one pillow, one pillow case, two sheets, one towel and one wash cloth. |
| Scheduling Information |
| Please outline your schedule to the best of your knowledge. |
| Date of Arrival/Check-in: |
|
| Time of Arrival/Check-in: |
|
| Date First Meeting Begins: |
|
| Date of First Meal: |
|
|
|
| Date of Last Meal: |
|
|
|
| Date Last Meeting Ends: |
|
| Date of Departure/Check-out: |
|
| Time of Departure/Check-out: |
|
| Description of Facility, Technology, and Meal Needs |
| Briefly describe your meeting needs, including types of facilities required (auditoriums, breakout space, recreation): |
|
| Briefly describe your media and technology needs: |
|
| Briefly describe your banquet and special meal needs: |
|
| HP: |
|
|
|
|
|
| |
