Conference Roommate Request Form

Note: The Roommate Service does not make reservations.

Member ID

First Name *

Last Name *

Email Address *

College and State *

Cell Phone Number *

Day/Date of Arrival

Day/Date of Departure *

Gender *

Prefer non-smoking room? *

Will you share with a smoker? *

Have you already made a room reservation? *

The Roommate Service does not make reservations.

Other Comments

*

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