Submit an Event Request

Thank you for considering John Ascuaga's Nugget for your next event! Please tell us a little more about your event by completing the form below and one of our staff members will contact you shortly. Please note, items marked with an asterisk (*) are required.

To speak directly with our Convention Sales department, please call 800-843-2427, ext. 3446 or 775-356-3446. To speak directly with our Catering department, please call 800-843-2427, ext. 3361 or 775-356-3361.

YOUR CONTACT INFORMATION:
First Name:*
Last Name:*
Title:
Company Name:
Address:
Address2:
City:
State/Province:	Select One Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming Yukon
Zip Code:*
eMail Address:*
Confirm eMail Address:*
Daytime Phone:*
Cell Phone:
Fax:
YOUR EVENT DETAILS:
Type of Event:*	Conference/Meeting and/or Trade Show with guest rooms Catering/Meeting event only (no guest rooms) Wedding
Arrival Date:	September 2010 Sun Mon Tue Wed Thu Fri Sat         1   2   3   4   5   6   7   8   9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Departure Date:	September 2010 Sun Mon Tue Wed Thu Fri Sat         1   2   3   4   5   6   7   8   9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Are these dates flexible?:	Yes No
Alternate dates, if any?:	September 2010 Sun Mon Tue Wed Thu Fri Sat         1   2   3   4   5   6   7   8   9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Name of Group or Company:
Name of Meeting or Event:
Number of Guests:
Arrival/Departure Pattern (# rooms per night):	Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Meeting Room Requirements:	General Session Select One Classroom Theater U-shape Rounds Hollow Square Other Room Setup Type Breakout Rooms Exhibits
Functions at Your Event:	Office Registration Breakfast Lunch   Reception   Dinner AM Break PM Break
PREFERRED CONTACT BY:
Home Phone: Cell Phone: Fax: Email: No Preference:
PLEASE PROVIDE ME WITH MORE INFORMATION:
Sales Kit: Hotel Brochure: Catering Menu: Email: No Preference:
OTHER INFORMATION:
Recreation Needs:
Special Needs/Other Information:
HOW DID YOU HEAR ABOUT US? :
MeetingsMedia e-newsletter Magazine ad (specify magazine): Direct solicitation Convention & Visitors Bureau Other (please specify):
Please include me in future eMails