Sarah Johnson
Omni Chicago Hotel
Phone: 312-266-3013
Email: sajohnson@omnihotels.com
Fields noted in
red
are required.
First Name
:
Last Name
:
Daytime Telephone
:
Email
:
Address:
City:
State:
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Flordia
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Not Applicable
Zip Code:
Preferred Method of Contact
:
Please Select
Telephone
E-Mail
Type of Event(s):
Please Select
Reception
Ceremony
Reception & Ceremony
Other
Preferred Event Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2006
2007
2008
2009
2010
Alternate Event Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2006
2007
2008
2009
2010
Estimated Decision Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2006
2007
2008
2009
2010
Event Time:
Est. Number of Guests:
Please Select
Up to 25
26-50
50-100
100-150
151-200
201-250
251-300
301-350
351-400
401-450
451-500
500+
Est. # of Guest Rooms per Night:
Please Select
0
1-9
10-20
21-30
31-40
41-50
50+
Total Estimated Budget:
Please Select
<$5,000
$5,000 - $10,000
$10,000 - $20,000
$21,000 - $30,000
$31,000 - $40,000
$41,000 - $50,000
$51,000 - $60,000
$61,000 - $75,000
$75,000 - $100,000
$101,000 - $125,000
$125,000 - $150,000
$151,000 - $200,000
$200,000+
Special Requests:
676 North Michigan Avenue, Chicago, Illinois 60611 - 312.944.6664
Back to Hotel Home Page