Majestic Gardens - Information Request Form

First Name: *

Last Name: *

Address: *

City: *	State: *	Zip: *

Phone:	Fax:

E-mail: *

Re-Enter E-mail:

Type of Event Planning: *

Approximate Number of Guests: *

Date of the Event: *		Is the Date Flexible?
		Yes No

Time of the Event:
Morning Afternoon Evening
Questions or Comments:

420 Route 25A, Rocky Point, New York 11778 • E-mail - info@majesticgardens.com • 631-744-9500