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Location
Aston at the Executive Centre Hotel
*Required Field
Travel Details
Arrival Date*
Departure Date*
Contact Information
First Name*
Last Name*
Company
Address*
Address 2
City*
State*
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Zip/Postal Code*
Phone Number*
Email Address*
Travel Agency
Agency Name
IRC/IATA/CLIA#
Group Information
Group Name*
Type of Group
Please select...
Sports
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Corporate Meeting/Retreat
Pre- and Post-Convention
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If other, please specify
Total Number of Persons Travelling
Number of Rooms Needed
10-15
16-30
31-50
51-75
76-100
101+
Payment Preferences*
Individual Payment - Individuals are responsible for own payment
Group Payment - Coordinator submits payment on behalf of entire group
Additional Comments (optional)
Meeting Information
Meeting space desired?
Yes
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If Yes:
Type of Meeting
Number of Attendees
Dates(s)
Food & Beverage component?
Yes
No