* First
Name
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| * Last
Name |
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Company Name
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| Address |
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Address 2: Apartment/Suite
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| * City |
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* State
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Zip Code
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| * Telephone Number |
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Fax
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| * Email |
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Preferred contact method
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| Event Information: |
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| * Event Name |
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| Arrival Date |
 |
| Departure Date |
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| Event and Guest Rooms |
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| Rooms Only |
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| Events
Only |
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| Desired Room Rate |
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| Amount ( $ ) |
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| Alternate Arrival Date |
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| Alternate Departure Date |
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| Dates Flexible |
Yes |
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No |
| |
Hotel Preferences:
Please tell us which Daytona Beach hotel(s) you are interested in as the venue for your event |
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Notes:
Please tell us about the events you plan
to have during your program. This will assist us in preparing
your proposal. |
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| Meeting Rooms: |
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| Meeting Room Notes: |
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| Guest Rooms: |
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| |
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| Additional Comments: |
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