This is a meeting space availability request form; in no way is it legally binding to either party. You will be contacted the next business day regarding your inquiry. If you desire, instead, to call us, we may be reached at 616-395-7200 or 800-903-9142.

Company/Group/Association Contact Information

First Name
 Last Name

Business Phone:
 E-Mail Address:
Fax Number:



Company/Group/Association Information

Company/Group/Association Name


Company/Group/Association Address



Event Information

Preferred Date (mm/dd/yy)
 Event Time
to 		Number of People
Will this meeting/meetings last for more than one day? Yes No
If so, please indicate dates and times of meetings in the Basic Agenda area below.

The number of overnight (hotel) rooms needed, if any
Arrival date for hotel rooms:
 Departure date for hotel rooms:

Basic Agenda
Seating Type for Main Meeting Room(s)
 Seating Type for Breakout Meeting Room(s) if applicable

Meeting Equipment Needed (check all that apply)
Overhead LCD Projector Flip Chart/White Board
TV/VCR Microphones Conference Calls
Easel Projector Screen 35 mm Carousel Projector


Food/Beverage Requirements

Meals Needed (check all that apply)
Breakfast Lunch Dinner
Reception Breaks None
We are happy to offer meal suggestions. Choose from our menus, or, if you would like, we can tailor a menu to suit your needs.
This form is not on a secure server. Please do not submit credit card information on this form. The Haworth Inn and Conference Center can not be held liable for any credit card information submitted on this form.





Having trouble with this web page? Please contact the web master, Amy Lunn, at [email protected] or call us at 800-903-9142.