Wedding Party Contact Information

Bride's First Name

Bride's Last Name

Bride's Daytime Phone:

Bride's Evening Phone:

Bride's Email Address:

Bride's Address

Groom's First Name

Groom's Last Name

Groom's Daytime Phone:

Groom's Evening Phone:

Groom's Email Address:

Groom's Address

Reception Information

Preferred Date (mm/dd/yy)

Reception Time: Choose One Morning Afternoon Night

Approximate Number of Guests

Will you need overnight (hotel) rooms? Yes No You may hold up to fifteen rooms for your wedding. Please speak with us for more details on room blocks.

Estimated arrival date for hotel rooms:

Estimated departure date for hotel rooms:

Please tell us a little about what you have in mind, i.e. food, colors, special desires, etc.

Will you be bringing in a disc jockey? Yes No

Equipment Needed (check all that apply)
Dance Floor	LCD Projector	Projector Screen
TV/VCR	Microphones	35 mm Carousel Projector

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.