| Name |
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| Surname |
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| Address |
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| City |
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| Prov/State (2 letter abbreviation) |
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| Postal/ZIP |
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| Country |
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| Phone |
NOTE: format must be like 999-222-4444 |
| E-mail (input carefully) |
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| WHO IS STAYING? |
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| Please list who is staying in residence. Include name(s) of child(ren) (age 17 & under, maximum of 2) sleeping on the floor.
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Name 1
Name 2
Name 3
Name 4
Name 5
Child(ren) on floor
Child 1
Child 2
Child 3
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| CHOOSE YOUR RESIDENCE
If two families wish to share an apartment, please include all names on one application and indicate which family is to be billed.
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Bricker Apartment Residence
Entire Apartment $125 CDN (approx. $123 US*) per night or $500 CDN (approx. $490 US) for 4 nights or more.
Bouckaert Residence
Double Room $50 CDN (approx. $49 US*) per night
Single Room $35 CDN (approx. $34 US*) per night
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| WHAT NIGHTS ARE YOU STAYING? |
Arrival date
Departure date
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EXTRAS
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High-speed wired internet access (you should bring your own ethernet cable), extra mattresses, a limited number of TV/DVD players and microwaves, & coffee makers, etc. are available for nominal extra fees. Please ask Conference Services for these extras when you check in. |
| When your information is complete, please click SUBMIT below.
WARNING: If you click Completely CLEAR this Form, all your entries will be erased.
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We will contact you to confirm your application and the amount due.
NOTE: There is a Residence Booking Fee of $10 CDN or US
If you have any questions about fees, please contact:
Tracy Jewell, administrative coordinator
Speedvale Postal Outlet
P.O. Box 26058
Guelph, ON N1E 6W1
CANADA
Phone (519) 824-7609
Fax (519) 824-7874
E-mail: sosi@artset.net
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