Cooper Aerobics Center - Contact Us - Request For Meeting Proposal

Start Strong, Finish Strong

Request For Meeting Proposal

Before sending an e-mail with your question or feedback, be sure to look at our web site for the answer to your question. The site map may help.

This form is only a request, not a confirmed reservation. The meeting coordinator will contact you to discuss your needs.

Fields marked with an asterisk (*) are required fields. Thank you.

Contact Information

* First Name:

* Last Name:

* E-mail Address:

Organization/Company Name:

Address:

City:

State:

Country:

Postal Code:

Daytime Phone:

Daytime Fax:

General Meeting Information

Meeting Name:

Total Attendees:

Arrival Date:

Alternate Arrival Date:

Departure Date:

Alternate Departure Date:

Number of sleeping rooms and date(s) needed

Singles:

Doubles (2 beds):

Suites:

Meeting Room Needs/Agenda

Do you need a general session meeting room?

Yes No

Number of Attendees:

Start Date (MM/DD/YYYY):

End Date (MM/DD/YYYY):

Setup Type:

Classroom
Rounds
Crescent Rounds
Theater

U-Shape
Hollow Square
Conference/Boardroom
Chevron

Breakout Room Needs/Agenda

Do you need any breakout rooms?

Yes No

Number of Rooms:

Number of Attendees:

Start Date (MM/DD/YYYY):

End Date (MM/DD/YYYY):

Setup Type:

Classroom
Rounds
Crescent Rounds
Theater

U-Shape
Hollow Square
Conference/Boardroom
Chevron

Food and Beverage Details

Breakfast:

AM Break:

Lunch:

PM Break:

Dinner:

Reception:

Special Requests

Please list any special meeting/breakout room needs:

Please list any audiovisual equipment you will need in the general session room and breakout rooms:

Please list any special food and beverage needs:

Additional questions/comments:

How did you hear about Cooper Guest Lodge or Cooper Aerobics Center?

Friend or Family
Magazine Article	Magazine Name:
Magazine Ad	Magazine Name:
TV	TV Show/Station:
Another Web Site	Web Site Address:
Newspaper Article	Newspaper Name:
Newspaper Ad	Newspaper Name:
Radio	Radio Station/Program:
Billboard	Billboard Location:
Banner	Banner Slogan:
Other