Conference Inquiry Form

Please complete this form to request information for your group event at Blue Mountain.

Group Information

* mandatory field
Company Name:	*
Contact Person:	*
Title:	*
Address:	*
City/Town:	*
Prov/State:	Unlisted --- Canadian Provinces --- Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon --- US States --- Alabama Alaska Arizona Arkansas Armed Forces, Africa Armed Forces, Americas Armed Forces, Canada Armed Forces, Europe Armed Forces, Middle East Armed Forces, Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Country:	Unlisted Canada United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Hercegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Byelorussian SSR Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Congo, The Democratic Republic Of Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Czechoslovakia Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemela Guernsey Guinea Guinea Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic Of Iraq Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao Peoples Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Neutral Zone New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province Of China Tajikista Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay USSR Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands British Virgin Islands U.S. Wallis and Futuna Islands West Bank and Gaza Western Sahara Yemen, Republic of Yugoslavia Zaire Zambia Zimbabwe Unknown
Postal Code/Zip:
Business Phone:	* Extension
Home Phone:
Fax:
E-mail:	*

Lodging Requirements

Arrival Date:	January February March April May June July August September October November December 01 02 03 04 05 06 07 2007 2008 2009 2010 *
Departure Date:	January February March April May June July August September October November December 01 02 03 04 05 06 07 2007 2008 2009 2010
Alternative Dates:
Total Number of Delegates:	*
Number of Accommodation  Rooms Required:	Single Occupancy  Double Occupancy

Meeting Requirements

Room Type Food/ Beverage # of Delegates Seating Format General Meeting Breakout Room  * Yes No * * Theatre Rounds 6 or 8 Half Rounds 4 Classroom U Shape Boardroom * General Meeting Breakout Room  Yes No Theatre Rounds 6 or 8 Half Rounds 4 Classroom U Shape Boardroom General Meeting Breakout Room  Yes No Theatre Rounds 6 or 8 Half Rounds 4 Classroom U Shape Boardroom General Meeting Breakout Room  Yes No Theatre Rounds 6 or 8 Half Rounds 4 Classroom U Shape Boardroom General Meeting Breakout Room  Yes No Theatre Rounds 6 or 8 Half Rounds 4 Classroom U Shape Boardroom
Total Number of Meeting  Rooms Required:
What are the primary  criteria involved in  your site selection?
Comments or  Other Requests:
How did you hear  about Blue Mountain?