Meeting & Conference Information Request

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Information Request

The fields marked with an asterisk ( * ) are required - so please make sure to fill them in completely.

Your Contact Information
* Company Name / Organization:
* Contact Name:
* E-Mail:
Street:
City:
Province / State:
Country:
Postal / Zip Code:
Telephone Number:
Fax Number:
Reply via:
Group Information
Multi-Day Meeting? (If yes enter additional dates in comments box below)	Yes No
Date Requested
Alternate Date Requested
Approximate number of guests?
Meeting room set up style.
Breakout Rooms?	Yes No
Meals Required?	Yes No
Guest Rooms Required?
	x Single Room (1 person)
	x Double Room (2 to 4 persons)
	x Upgraded Rooms/Suites
Comments: (Special Requests & Information)

*Inquiries will be followed up Monday-Friday 9am - 5pm*

Best Western Highland Inn & Conference Centre
924 King Street, P.O. Box 515,
Midland, ON, Canada L4R 4L3
Phone:705-526-9307 Fax: 705-526-0099 Toll-Free: 800-461-4265
E-mail: info@BestWesternMidland.com

Information Request

Your Contact Information