First Name:

Last Name:

Email:

City:

Province:

Phone:

( )

Event/Function

Event Date

Event End Date

Event Start Time

Event End Time

Attendance

Meeting Room Preference

Magnolia Orchid Yarrow

Meeting Room Set-up

Boardroom Hollow Square U-Shape Rounds 1/2 Rounds Classroom Theater

Do you require hotel accomodation?

Yes No

if yes, how many guest rooms per night

Is there anything else that is important to you and the success of this event?