Meeting Requests

1. Contact Information

First Name (required)

Last Name (required)

Email Address (required)

Company (required)

Mailing Address (required)

City (required)

State (required)
Please SelectN/AAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming
Zip Code (required)

Phone Number (required)

Fax Number

2. General Meeting Information

Meeting Name (required)

Total Attendees (required)

Arrival Date (required)

Departure Date (required)

Are your dates flexible?
 yes no

3. Sleeping Room Requirements

Please enter the maximum number of each type of room you will need. Before sending the RFP, you will be given the opportunity to adjust the number of each type of room needed for each night. Enter 0 if you need none of a particular type of room.

Number of Single Rooms - 1 bed - needed (required):

Number of Double Rooms - 2 beds - needed (required):

Number of Suites - 2 beds - needed (required):

4. Meeting Room Requirements

Do you need a general session meeting room?
 yes no
# of people:

Start Date:

End Date:

Setup Type:
Please SelectClassroomTheaterChevronRoundsRounds of 8Rounds of 10Rounds of 12BoardroomConferenceAmphitheaterFood StationsU ShapeCocktail RoundsHollow SquarePerimeterFlowExhibitsTrade ShowTable TopCrescent RoundsT-StyleSchool RoomReceptionBanquetSee Comments

Do you need breakout rooms?
 yes no
# of rooms:

Start Date:

End Date:

Please describe any special needs for these rooms.

5. Food and Beverage Details

Check all F&B functions that may apply.
 breakfast AM Coffee Break Lunch PM Coffee Break Dinner Reception
Is there any other information you'd like to provide about your F&B functions?

6. Other Information

How did you hear about Hassayampa Inn?
Please SelectPrint AdvertisingEmailReferredSearch EngineOther

7. Previous Meeting History

When was this meeting previously held?

Where was it held?

8. Additional Comments

Please let us know of any additional details or comments that was not discussed in this form.