Company Name* :

Contact Name* :

Contact Email* :

Contact Phone* :

Date Requested* :

Start Time* :

End Time*:

# Attendees:

Center Location:

Type of Booking:

Special
Requirements:

Coffee Service
Catering
Projector
TV / DVD Player (please specify HDMI or VGA in Notes)

Notes:

*Required

All rooms are confirmed with an email from Cummings Executive Suites. All confirmations are sent during regular business hours. Non-clients will be required to provide a valid credit card prior to the scheduled meeting.