Golden Nugget

Contact Information

Company/Group Name

Meeting Name:

Contact Name

Title:

Address:

City:

State:

Zip Code:

Note: If you entered a P.O. Box, please enter the Zip Code of your physical address:

Telephone

Fax:

E-mail

Overnight Guestrooms

Arrival Date:

Depart Date:

Flexibility with Dates: Yes No

If yes, please list alternate dates:

Number of Rooms
(per night):

Room Types Requested:

Standard
Deluxe King

VIP Level
Penthouse Suite

Meeting Space

Set Up:

Other

Number of Attendees:

Special Requests or Requirements:

Comments