Request for Information

Thank you for your interest in holding your upcoming wedding at The Jefferson Hotel. Please complete the form below and a Catering Manager will be in touch with you. You can also reach a member of our team at 804-649-4612 or [email protected].

* indicates required

Name: *

Address:

City:

State:

Zip:

Telephone Number: *

Best Time to Reach You:

E-mail Address: *

Wedding Date (MM/DD/YYYY): *

Alternative Date (MM/DD/YYYY):

First and Last Names of The Happy Couple:

Please contact me regarding:

Wedding Reception - Seated Dinner
Wedding Reception - Heavy Hors d'oeuvres
Rehearsal Dinner

Estimated Number of Guests: *

Referred By: