Sign-Up to Receive Promotions by E-Mail

Boxes marked (*)
are mandatory.

MEETINGS & EVENTS

MEETING/EVENT PLANNER REQUEST FORM

* First Name
* Last Name
Company Name
Address	Address 2: Apartment/Suite
* City	* State
Zip Code
* Telephone Number	Fax
* Email	Preferred contact method

Where did you hear about us?
(please select all options that apply)

	Radio (specify)		Magazine (specify)
	Billboard (specify)		Newspaper (specify)
	Email (specify)		Trade Show (specify)
	Web Search (specify)		Referral (specify)
	Direct Mail (specify)		Other (specify)

Event Information:

* Event Name

Event and Guest Rooms

Rooms Only

Events Only

Arrival Date		Departure Date
Desired Room Rate		Amount $
Alternate Arrival Date		Alternate Departure Date
Dates Flexible	Yes	No

Notes:
(Please tell us about the events you plan to have during your program. This will assist us in preparing your proposal.

Meeting Rooms:

Room #1:
Beginning Date	Ending Date	# of attendees
Meal	Setup

Room #2:
Beginning Date	Ending Date	# of attendees
Meal	Setup

Room #3:
Beginning Date	Ending Date	# of attendees
Meal	Setup

Room #4:
Beginning Date	Ending Date	# of attendees
Meal	Setup

Room #5:
Beginning Date	Ending Date	# of attendees
Meal	Setup

Room #6:
Beginning Date	Ending Date	# of attendees
Meal	Setup

Meeting Room Notes:

Additional Comments:


	Hotel Website Design and Internet Marketing Strategy by HeBS

	La Bellasera Hotel & Suites, 206 Alexa Court, Paso Robles, California 93446 Reservations: 866-STAY-NOW Phone: 805-238-2834