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*required fields
*Your Organization/Company
Name of Event
*Contact Person
*Phone
 Fax
*E-mail
Mailing Address
City
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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