Name of Group:

Contact Person:

Street Address:

City:

State/Province/County:

Zipcode/Postal Code:

Country:

Telephone (with area code):

Fax (with area code):

E-Mail:

Estimated Attendance?

Function Type: Business Meeting | Reception

Catering: Yes (reception; coffee; dinner, etc.)? | No

Will you require AV equipment? Yes | No

If yes, please indicate your need? Select all that apply: Microphone and Podium | LCD Projector and Screen

The AAS can arrange for the equipment listed above to be set in each room but this equipment is not complimentary. The full A/V package of one (1) LCD Projector and Screen & one (1) Microphone is $300.

PLEASE NOTE: If you have requested A/V equipment, you will be responsible for the cost of equipment rental and labor charges; please make sure you give accurate information so that we can assign your group a space where you can share the cost with other groups. AAS makes an effort to decrease the A/V cost to our affiliate groups by offering the option to share the costs with other groups. Additional equipment needed beyond the basic package as listed above must be ordered directly from the hotel and your group will be billed separately by the hotel.

Please rank your first three time choices:

IMPORTANT: Please only indicate below the exact hours for which you are requesting to reserve space. For example, space is available on Thursday from 9:00am – 5:30 pm; however if your space request is for Thursday 10:00am – 11:00am, please only indicate those actual hours needed (10:00am – 11:00am) and not the entire 8 hour slot.

First Choice:

Second Choice:

Third Choice:

By submitting this request form, I agree to pay any A/V costs associated with this request either directly to the AAS and/or the official A/V provider.