Alta Vista Hotel

A.M. Break

P.M. Break

Other/
Reception

RESERVATIONS: 1.888.290.8099

Contact Information

Please provide the following information so we can contact you regarding your request.

*First Name
*First Name
*Last Name
*E-Mail
Organization
Event Name
Address
City
State
State
Country
Zip/Postal Code
*Day Phone
Fax

*Meeting Space Requirements

Please provide detailed requirements for your meeting.

Date	# Attendance General Session	Time of General Session

General Session Setup:
Other meeting space requirements (audio/visual):

*Guest Room Requirements

Please provide detailed requirements for the number of rooms required.

Date	Number of guest rooms	Number of suites

Food Requirements

Please check the appropriate boxes for your food requirements for each day, if required.

Other food requirements:

Comments:

Alta Vista Hotel & Conference Center
260 Goodwin Crest Drive - Birmingham, AL 35209
Reservations: 1.888.290.8099
PH: 1.205.290.8000 | FX: 1.205.290.8001