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3133 N.E. Shute Road, Hillsboro, OR 97124 I P: 503.681.2121 I F: 503.693.7189
















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Contact Information
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*First Name:
*Last Name:
*Company Name:
*Address Line 1:
Address Line 2:
*Country:
*State/Province:
(Required for US / Canada)
*City:
*E-mail Address:
*Zip Code:
*Phone Number:
Event Information
*Event Name:
*Number of Attendees:
*Arrival Date:
*Departure Date:
Alternate Arrival Date:
Alternate Depart Date
Decision Date:
*Type of Event
Do you require a general session room?
Set-up Type
Do you require break-out rooms?
Number of break-out rooms per day:
Date of first event:
Check applicable food and beverage needs.
                           
                                                     

Overall event budget:
Budgeted guest room rate per night:
Guest Rooms
*Guest rooms needed?

Other Information
If applicable, where and when have you held this event before?
Additional Comments:
(such as additional alternate dates or AV requirements)
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How did you hear about us?*

                                  
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