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Request For Proposal

Thank you for your interest in our hotel! Please assist us in learning more about your specific meeting, social and/or leisure requirements by completing the fields below. This information will be used to provide you with a detailed proposal for your consideration. Thank you again for your valuable time and we look forward to working with you.

Fields marked with (*) are required

Heard about us via:
*First Name:
*Last Name:
Title:
*Company Name:
*Address:
Address (cont.):
*City:
*State/Province:		*Postal/ZipCode:
*e-mail Address:
*Daytime Phone:
Fax Number:

General Information
Date proposal must be received:
Function/Meeting/Event Name:
Description of Function/Meeting/Event:

Event Information
Type of function:
Arrival Date:
Departure Date:
Are these Dates flexible?	(yes/no)
Alternate Dates (if any):

Daily Meeting Agenda
Date	Start Time	End Time	# of people	Setup Type
1.

Audio Visual Notes
Please indicate any Audio Visual requirements.

Accommodations Information
Arrival Date:
Departure Date:

Sleeping Room Block
Date	Singles	Doubles	Suites	Total
1.

Other Information
Additional Comments:
Contact Me Via:	Email Daytime Phone Mail Fax

Hampton Inn Dulles Airport South
4050 Westfax Drive (Rt. 50 West just off Rt. 28) • Chantilly, Virginia 20151
Phone: (703) 818-8200 • Fax: (703) 968-6871
Toll Free: Reservations (800) HAMPTON

Website & Marketing: L.E.T. Group