Contact Information Title Mr.Mrs.Ms.MissDr.Prof. First Name Middle Initial Last Name Email Re-type Email Company Name Address   City State Province Zip/Postal Code Country Home Phone Business Phone Fax   Meeting Room Requirements Number of People 1-23-45-67+ Start Date End Date Set Up Type BanquetConferenceReceptionU-shapeTheaterSchool Do you need breakout rooms? Yes No Number of Rooms Start Date End Date Number of People 1-23-45-67+ Set Up Type BanquetConferenceReceptionU-shapeTheaterSchool Will you need Audio & Visual? Yes No Meeting Information Meeting Name Total Attendees Meeting Type BoardCommitteePressSalesTrainingReceptionSeminarOther Arrival Date Alt. Arrival Date Departure Date Alt. Departure Date Are your dates flexible? Yes No Is your day flexible? Yes No   Sleeping Room Requirements Standard Guestroom One Bedroom Suite Two Bedroom Suite I do not require  sleeping rooms   Food & Beverage Details Breakfast AM Coffee Break Lunch PM Coffee Break Dinner Reception Comments

Pruneyard Plaza Hotel, near San Jose International Airport, San Jose Convention Center, and San Jose State University

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