Contact Information

* required fields
 		  

*Prefix:

*First Name:

*Last Name:

*E-mail Address:

Title:

Company:

*Address 1:

Address 2:

*City:

*Country:

*State, *Postal Code:

,

Province:

 (For non-U.S. Resident)

*Phone:

Fax:

Arrival Date:

Departure Date:

Confirmation Number:

Trip Details

  

Visiting on

Visiting as part of a group

Group name

Traveling with children

Number of children
Ages (separated by comma)  

If so, please tell us about your child / children.
(Name, birthday, gender, favorite book, favorite movie, favorite toy)

I am Interested in...

  
 

Specific Restaurant Requests

  

I would like reservations at:

Other Restaurant:

Reservation Preferred Date:

Reservation Preferred Time:

 :  

Number in your party:

Special Occasion? (Please Specify)

Special Requests? (Please Specify)

Dietary Restrictions / Allergies
(Please Specify)

Dining

Concierge Recommends…

  

I would like you to suggest restaurants in the following categories

Please list any specific cuisine type?

Please only include restaurants within

Reservation Preferred Date:

Reservation Preferred Time:

 :

Number in your party:

Entertainment Requests

  

I would like to see:

Preferred Show Date:

Preferred Show Time:

 :

Number in your party:

Special Occasion? (Please Specify)

Special Requests? (Please Specify)

Spa/Salon Reservations

Preferred Date:

Preferred Time:

 :

Services Requested:
>

Other Comments:

Based on the above information would you like us to suggest an itinerary for your stay?

    

Can we send you future information regarding special events and announcements?

    

Is there anything else we can coordinate for you during your stay?
If so, please specify:

All requests will be reviewed by your MGM Grand Online Concierge within 24 hours. You will receive written confirmation once your request has been confirmed.