Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date *

Please include the date you wish to hold the event. If you are open no problem, we just require a starting point in order to check our reservations.

MM

DD

YYYY

Choose One;

Wedding

Reception

Special Event

Corporate Event

Fundraiser

Off-site Catering

Event Planning

Other

I acknowledge that by submitting this information, it is NOT a guarantee of booking, or a confirmation of reservation. Additional documentation and deposits will be required to complete the booking and will be communicated as such from the Stillwell House and its members. *

Yes, I understand