Check-In Date:

Nights: Adults:

C R O W N E P L A Z A
H O L L Y W O O D
B E A C H H O T E L
4000 South Ocean Drive
Hollywood, FL 33019
PHONE: 954-454-4334
TOLL FREE 800-227-6963

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Contact Information
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Title
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Street
Suite/Apt
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Priority Club #
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Type of Event / Meeting - Function

Meeting-Event-Function Name

Brief Description of Meeting-Event-Function

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Are these dates flexible? Yes No
What are your alternate dates, if any?


Meeting/Event/Function Room Requirements
	Date	Start Time	End Time	People	Setup Type
1.
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3.
4.
5.

AV, Business Services and other requirements


Food & Beverage Required? Yes No

Hospitality and Banquet Requirements

Transportation, Recreation, tours, etc.