Staybridge Suites Meeting Rental Request

2916 Hardrock Road, Fitchburg, WI 53719

(608) 616-5141

sales@madisonstaybridge.com
MEETING ROOM RENTAL REQUEST FORM
Event Planner *

First Name Last Name
Onsite Contact

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *
This is my: *
E-mail *
Name of Event *
Group Name
Meeting Space *

Setup Instructions

	Dates	Times	Set-Up	Room	# People
1
2
3
4

IN-ROOM ADD-ONS (All Food & Beverage items are ++, which means subject to 5.5% sales tax and 18% service charge. All non-food items, the breakfast buffet, and the Social/Dinner are +, which means subject to 5.5% sales tax.)
Please select all ADD-ONS for your event:

Coffee+Tea: $25++/urn TV Screen: $25/day Ice Water Service: Free Projector: $70/day Bottled Water: $2++/bottle Projector Screen (120" LARGE): $85/day Soda: $2++/can Microphone/Speakers: $30+/day Sparkling Water: $2++/can Bluetooth Wireless Microphone: $15/day Podium: $30+/day Flip Chart Stand/Easel/Dry Erase: $30/day Juice: $3++/bottle Flip Chart Pad: $15/day Wine: $12++/bottle Domestic Beer: $3++/can Phone Conference System: $15+/day Craft Beer: $4++/can Linens: $10+/linen Name Cards: $15+ Breakfast Buffet: $13.95+/person* Lunch: price varies based on menu (weekdays only) Social/Dinner: $17+/person* (Mon, Tue, Wed only) Assorted Bakery Items: $2++/each Fresh Fruit Tray: $25++/each
*Only available during normal scheduled times unless prior arrangements made with Sales (additional charges may apply.)

(Final Food & Beverage guarantees must be given 7 days prior to event or full charges will apply)
For above selected IN-ROOM ADD-ONS, please indicate:
Types of Coffee

Regular Roast Dark Roast Decaf
Types of Juice

Orange Juice Apple Juice Cranberry Juice
Types of Soda

Coca-Cola Diet Coke Sprite Minute Maid Lemonade Fanta Orange Coke Zero Pepsi Diet Pepsi Mountain Dew Sierra Mist Root Beer Assorted Sparkling Water
Number of Easels
Number of Flip Charts
Types of Beer

Spotted Cow Miller Lite Bud Light
Types of Wine

Chardonnay Pinot Grigio Moscato Merlot
Number of Linens
Payment Method
Notes
All food & beverage charges are subject to an 18% service charge and 5.5% sales tax. Glitter or confetti is NOT allowed in any area of the hotel or one day's rental will be added for extraneous clean-up. Additional terms and conditions apply to rental agreement and will be provided prior to signing contract.

This is not a contract. This is a request for meeting and event space rental. You will be contacted by a member of our Sales Team to discuss your request.
Should be Empty: