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PERSONAL INFORMATION:
First Name :*
Last Name :*
Title :
Company Name :
Address :
Address2 :
City :
State/Province :
Zip Code :*
Email Address :*
Daytime Phone :*
Cell Phone :
Fax :
EVENT INFORMATION:
Arrival Date :
  
Departure Date :
  
Are these dates flexible? : Yes No
Alternate dates, if any? :
  
Date by which proposal
must be received :		   
Name of Meeting or Event :
Number of Guests :
How many Sleeping Rooms :
Upload RFI :
Last Meeting Held At:
(Hotel Name / Date)
PREFERRED CONTACT BY:
Home Phone :
Cell Phone :
Email :
OTHER INFORMATION:
Brief Description of Meeting/Event/Function :
Catered Dining events description :
Hospitality Suite Requirements :
Audio Visual Requirements :
Other important requirements :
(i.e. -- golf, computers, High Speed Internet Access, fitness center, etc.)
Please include me in future eMails
 
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598 Broad Hollow Road, Melville, New York, 11747-5002, A Long Island Hotel
Long Island Tel: 1.631.845.1000 Long Island Fax: 1.631.845.1223 Michael.Newman@hilton.com
Hotel Internet Marketing by Cendyn