Corporate Account Information
Fields with the * are mandatory.
Company Name:    *  
Address:    *  
City:    *  
Province:    *  
Postal Code:    *  
Contact Name:    *  
Title:    *  
Telephone:    * Ext  
Fax   *  
E-mail:    *  
Average number
of room nights used
in the Mississauga
area annually:
How are company hotel reservations made? *
(please check all that apply)
Company Travel Dept: Contact: Telephone:
Administrative Assistant: Contact: Telephone:
Individual: Contact: Telephone:
Travel Agency: Contact: Telephone:
Does your company require meeting and/or banquet facilities?
(please check one only) *
Yes   No   Contact:  Title:  Telephone: 
Average number of meetings and/or banquets held
in the Mississauga area annually:
Would you like to receive a credit application for direct billing privileges?
(please check one only) *
Yes No
Permission Marketing: *
Yes   No  
I hereby allow Stage West to e-mail me about upcoming specials/events. This information will not be sold and will remain confidentail by Stage West.
Thank you for completing your corporate account application. A representative from our Corporate Sales Department will be in contact with you shortly to confirm your new corporate rate.


5400 Dixie Road, Mississauga, ON, L4W 4T4
Box Office: Theatre & Hotel/Theatre package reservations 905-238-0042,1-800-263-0684
Hotel Reservations 905-238-0159 1-800-668-9887