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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: |
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| Last Name: |
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| Title: |
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| Your Organization: |
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| Street Address: |
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| City: |
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| State: |
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| Zip: |
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| Country: |
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| Daytime Phone: |
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| Fax: |
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| Email: |
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| Camp or Conference Information |
| Title of Camp/Conference: |
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| Briefly describe the purpose of your camp/conference: |
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| Admission Charge?: |
Yes
No
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| Primary Participants: |
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| Expected Attendance: |
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| Requested Start Date of Your Event: |
| First Choice: |
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| Second Choice: |
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| Third Choice: |
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| Are These Dates Flexible? |
Yes
No
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| Site Selection Deadline Date: |
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| Have You Previouslyl Met at Nyack College? |
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Yes
No
Not Sure
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| If Yes, Please Give Details: | |
| If No or Not Sure, How Did You Hear About Conference Services? |
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| Are You Interested in the Overnight Linen Package? |
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Yes
No
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| 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. |
| Arrival Time: |
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| Event Start Time: |
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| Event End Time: |
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| Final Departure Time: |
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| Description of Facility, Technology, and Meal Needs |
| Briefly describe how your event will be publicized: |
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| Briefly describe your meeting needs, including types of facilities required (auditoriums, breakout space, recreation): |
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| Briefly describe your media and technology needs: |
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| Briefly describe your banquet and special meal needs: |
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| HP: |
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