| Requestor Name: |
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| Requestor School and Department: |
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| Requestor Telephone: |
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| Name of Guest: |
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| Estimated Date and Time of Check-In: |
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| Date and Time of Check-Out: |
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| Will the guest be bringing a car or having a car provided for them? |
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| If your department pays for meals, provide a dollar amount to place on the meal card for guest to eat in our dining areas on campus (dining not included in charges): |
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Department budget number to charge for stay - $50 per night per room:
(If a guest stays under 10 days, the rate per night per room is $40) |
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| Who is the main contact / host for the guest? |
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| If the host department is checking in the guest, where should the keys be delivered to? |
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| Special Accommodations (guest house is not handicap accessible, all bedrooms are on the second floor): |
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Comments:
A confirmation is sent out in a few days after the reservation is made. If you haven't received a confirmation, please contact the Guest House Coordinator. |
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