* = Required Fields

Organization:

*

Contact First Name:

*

Contact Last Name:

*

Address:

*

City:

*

State/Province:

*

other

Zip/Postal Code:

*

Phone:

*

Fax:

*

Email:

*

First Choice: Arrival Date (Day 1):

* MM/DD/YYYY

Departure Date:

* MM/DD/YYYY

Second Choice: Arrival Date (Day 1):

MM/DD/YYYY

Departure Date:

MM/DD/YYYY

Are days of the week flexible:

Yes
No

Number of Guests:

Meeting Space Requirements

General Session (s):

Yes
No

If Yes:

# of People:

Room Set-Up:

Theatre

Classroom

U-Shape

Other

Breakout (s):

Yes
No

If Yes:

# of Breakouts:

# of People:

Room Set-Up:

Theatre

Classroom

U-Shape

Other

Meal Functions:

Yes
No

If Yes:

Lunch

Dinner

Hospitality

Reception

Other

Exhibits:

Yes
No

If Yes:

Booth

Table Top

Spousal Programs:

Yes
No

My property preference:

No preference
The Penn Stater
The Nittany Lion Inn

Is your organization tax exempt?:

Yes
No

Tax exempt number ( optional):

I prefer to be contacted by:

Please send email notification of special offers and events to me: