Conference Services

West Chester University

13/15 University Avenue
West Chester, PA 19383
Phone: 610-436-6931
Fax: 610-738-0466
MKurimay@wcupa.edu

Conference Services Proposal Form

The fields with the red * are required.

* First Name:

* Last Name:

* E-mail Address:

* Company Name:

* Industry Type:

Name of Event:

Address:

City:

State:

Zip/Postal Code: -

* Phone:

Fax:

* Please Contact Me By:

Arrival Date & Time:

* Month:

* Day:

* Year:

* Time:

Departure Date & Time:

* Month:

* Day:

* Year:

* Time:

* Flexible: Yes No

Number of Overnight Rooms: Type of Room:

Number of Minors:

Age(s) of group
(if minors):

Estimated Number of People:

How did you hear of us?

Meeting Space Requirements (include type/setup - classroom, lecture and AV):

Special Needs Requests (if none, type none) :

Meals Required:
Breakfast Other
Lunch
Dinner

Other Requirements:

History of Previous Meetings:

Reference Contact:

First Name:

Last Name:

Phone:

E-Mail: