Black Bear Lodge - Groups Information Request

Groups Information Request

To receive a proposal for your group event, please provide the following contact information.

First Name:	Street Address:
Last Name:		City:
Company (or Family Name):		State:
Country:	Zip/Postal Code:
Contact Phone:
E-mail:	(required)

Type of group function:
Estimated # of people:	Adults: Children 12 and under: Babies under 2 years old:
Arrival Date:
Number nights lodging requested:
Would you like us to assist in arranging any meals for your group?
Breakfast:
(number of meals provided for group - not group count but number of times each meal would be served)
Lunch:
Dinner:
Special interests for groups, check any that apply:		(Hold down CTRL for multiple selection)

Have you stayed with us before?
What is bringing you to our area?

	How did you hear about us?
	Special Requests:

	Additional Comments

Black Bear Lodge · 1279 Halberstadt Road · St. Germain, WI 54558 · USA · 1-800-563-4340 · (715) 479-5778 · info@blackbearlodge.com