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

If you are human, leave this field blank.

Name *

Organization Name

Address

City

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

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

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