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Please submit the following information for your requested event. (Fields marked with an * are required.) Our Conference Coordinator will consult the scheduling calendar and will respond to your request as soon as possible.

Please note that submission of this form serves only to check availability. We regret that due to high demand (especially for weekend dates) we are not able to accommodate some requests.


GROUP CONTACT PERSON
First Name*
Last Name*
 
Street*
City*
State*
ZIP*
 
TELEPHONE
Telephone 1
Area Code*( ) Number*  Ext.
Telephone 2
Area Code( )  Number    Ext.
 
E-MAIL
E-mail Address*
 
How Did You Hear About Roslyn?  
 
Would you like to join our mailing list?   Yes No
If Yes, how may we contact you?   E-mail Postal Mail Telephone
 
NAME OF ORGANIZATION
 
EVENT NAME
 
EVENT INFORMATION
Number of Participants Expected*
Dates Requested
1st Choice*  Month, Day(s) & Year
2nd Choice
 
Event Type
  Day Only Overnight
  Number of Bedrooms Requested
Requested Meeting Space (If Any)
 
Other Information to
Help Us Process
Your Request
 

 

 
 
8727 River Road • Richmond, Virginia 23229
(800) 477-6296 • (804) 288-6045 • fax (804) 285-3430 • info@roslyncenter.org