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Group Request Form

Please complete the form below as best as you can and we’ll get back to you to discuss your upcoming event!

Group Request Form Rhinebeck

Name *

Organization Name

Address

City

State

Zip Code

Email Address *

Phone Number *

Event Information

End Section

Nature of Event

Social

Business

Event Name *

Event Type *

Spa

Dining

Overnight

Meeting

Conference/Retreat

Wedding

OtherOther

Check all that apply

Event Description *

Number of Attendees *

Arrival Date *

Departure Date *

Alternative Arrival Date

Departure Date

Do you require a private banquet room? *

Yes

No

Set-up Type

Classroom

Conference

Theater

Rounds

Cocktail

Do you require break-out rooms?

Yes

No

If so, how many break-out rooms per day?

Check applicable food and beverage needs

Breakfast

Lunch

Dinner

Reception

AM/PM Break

Check all that apply

Guest Room Type

Standard

Club Suite

Single - 1 bed

Double - 2 beds

Check all that apply

How did you hear about us? How did you hear about us?

If you are human, leave this field blank.

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Location & Contact
Information

46 W Market St, Rhinebeck, NY 12572
877-MIRBEAU (647-2328)
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properties

ALBANY, NY
SKANEATELES, NY
PLYMOUTH, MA

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