Please use this form to submit preliminary information to us. We will review your information and respond to your request. Submitting this information does not indicate a reservation. Our staff will respond to your request and discuss reservation details with you.

Company:
Address:
(line 2 of address):
City, State, Zip:   
Contact Person:
Phone:
Fax:
E-mail:
Meeting Date:
Meeting Time:
# of People:
# of Overnight Rooms:

 
Please select the type of room setup you require:


Hollow Square

Conference

Double Conference


U Shape

T Shape

E Shape


Theatre

Arena

Classroom


Herringbone
I require a different setup.

Please contact me.


Do you require any breakout rooms?   Yes   No

A podium and screen is included in the room rental. Please select other options for your event below:

Registration Table Yes No
Location  
Chairs  
Head Table Yes No
Number at head table  
Display Tables Yes No
Quantity  
Location
Podium Yes No
Location  
Microphone

Yes No
Type  
Location  
Quantity  

Phone Line Yes No
Quantity  
AV Equipment


Yes No
Please select below:  
    TV/VCR
    Screen
    Overhead
    White Board
    Slide Projector
    Flip Charts   Quantity  
    LCD Projector
    (Resolution must be determined before ordering. Please contact Banquet Coordinator for information to obtain specifications)
Pads & Pencils Yes No


 
Please describe your meal needs and other miscellaneous needs here:

 
Reserve Now!

For reservations by phone call:
(570) 822-1011 or 1-800-780-7234. You may also contact any of our
Worldwide Reservations Numbers >

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A family of independent companies
East Mountain Inn & Suites
2400 East End Boulevard - Route 115
(Exit 170A off I-81)
Wilkes-Barre, PA 18702
(570) 822-1011
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