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Name of Event
*Contact Person
*Phone
Fax
*E-mail
Mailing Address
City
State Zip
Preferred Dates 1
2
Preferred Location 1
2
Additional Requests
Estimated Room Block:
Day/Date
Total Rooms
Room Block Notes
Space required:
Agenda
Day/Date
Time
Function
#of people
Set-up
Ceiling Height
Minimum Sq.Feet
Agenda Notes

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CONFERON express
2500 Enterprise Parkway East, Twinsburg OH 44087
Phone: 330-425-8333, Extension 3121 Fax:
330-963-7222
E-mail:
express@conferon.com