On-Line Reservation Form

Please fill out the form below to request information on holding an event at the Roma Lodge.

We will contact you to discuss your event.

Name
Company Name (If Applicable)
Phone Number
Email
Address
Event Date
Event Time	:
Number of Guests
Type Of Event
Services Required	Breakfast All Day Corporate Event Luncheon Dinner Bar Service Other
Equipment Needed	Podium with Microphone WiFi Network Laptop Computer Projector Projector Screen Other
Comments
	I am a Roma Lodge member

7130 Spring Street
Racine, WI 53406
262-886-3610