Room Block Request Form Thank you for your interest in the Rockport Inn & Suites. Please complete the form below. Our Groups & Events Manager will contact you so that we may begin planning your special event. Please contact us with any questions at 978-546-3300. (Note: This form is a request only and does not guarantee a room block for the dates specified.) Block Type*WeddingReunionMeetingOtherBlock Type - Other*Name of Room Block*Last Name(s) of Party (i.e., Miller / Jones)Contact Name*Address*Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZip CodeHome Phone*Cell PhoneEmail Address*How Did You Hear About Us?*Cruiseport GloucesterThe Essex RoomChamber of CommerceNorthshore MagazineGloucester Daily TimesLocal Daily NewspaperOtherHow Did You Hear - Other*Arrival Date* Departure Date* Number of Rooms*(Total)Room Type(s)*(i.e., 10 rooms with King Bed, 20 rooms with Two Queen Beds, 2 Suites)Function Space Needed?*YesNoDescribe Event for Function Room(Post-Wedding Party, Rehearsal Dinner, etc.)Captcha