Montclair State University Residential Education and Services

Summer Conference 2015--June 1 through August 8


Event Title


Contact Name


Contact's Title


Name of Company/Organization


Street Address


City


State


Zip Code


Contact Phone Number


Contact E-mail


Check-In Date


Check-Out date


Approximate Check-in Time


What type of conference are you organizing?








Please provide a brief description of the event.


Number of Participants


Do you require linen: (Please note there is a $15 charge per person)



How many participants are in the 10-15 age range?


How many participants are in the 16-20 age range?


How many participants are in the 21-25 age range?


How many participants are in the 26-30 age range?


How many participants are over age 30?


Number of Staff/Counselors?


Will there be any early arrivals or late departures?


What type of building space/location are you requesting?




Do you require parking or shuttle services? (Please note there is an additional charge for service).



Do you require:




Will you need catering or meals during your stay?





Any other comments/additional details?


Montclair State University Residential Education and Services