Intake Form

Click here for the print version of this form.

Customer Name Required

Phone (Primary) Required

Phone (Secondary)

Email Address Required

Alternate Point of Contact (Alt. POC) Required

Alt. POC Phone (Primary) Required

Alt. POC Phone (Secondary)

Type of Function (ie. Military function, birthday party, etc.) Required

Requested Date Required

Alternate Date

Requested Start Time Required

Requested End Time Required

Number of Guests Required

Requested Room/Venue Required

Oak Room (30)

Juniper Ballroom (160)

Magnolia Room (50)

Leitner Lake Conference Center (120)

Pointes West Conference Center (120)

Would you like a sign placed on the door during the function?

Yes

If "Yes", what should the sign say?

Additional Requirements

Joint Service Ping Pong Club