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Welcome to Haiku Canada

Saint John's conference accomodations
Saint John's conference accomodations
Saint John's conference registration
Betty Drevniok Award 2012
Haiku Creativity with Emiko
Montreal 2010 Conference Schedule
Montreal 2010 Conference Registration and Accomodation Information
Betty Drevniok Award 2009
Haiku Canada Vancouver 2009
Betty Drevniok Award 2007 and 2008 -- Important Deadline Changes
Betty Drevniok Award Results 2006
A Tribute to Marianne Bluger
Join Haiku Canada
About Haiku Canada
Haiku Canada Photo Gallery
Read about Haiku Canada's 25th Anniversary in 2002

MEMORIAL UNIVERSITY OF NEWFOUNDLAND

REQUEST FOR ACCOMMODATIONS: PATON COLLEGE

 

Requests will be accepted on an availability basis.

You will receive an email or phone acknowledgement of receipt of this form within one week of its arrival.

Please read the attached Information Sheet. 

 

PLEASE TYPE OR PRINT CLEARLY.

 

Personal Information

 

Name:                     Male □   Female □

Address:  

Province/State:                      Country:     Postal/Zip Code:                               

Telephone #: (          ) Fax #: ( )

E-mail:  

                     PLEASE print your e-mail address legibly and in BLACK ink)                                      

 

Accommodation Information  

* Accommodations are provided in university residences with traditional dormitory-style single or twin-bedded rooms.

*All prices include all applicable taxes.

 

Arrival Date:  Time:                                     

Departure Date:  Time:

 

Students, Seniors, Memorial alumni

$28.00 – single

$50.00 – double occupancy

Casuals

$35.00 – single

$55.00 – double occupancy

Long term student – > 30 days

$16.00 - single

$28.00 – double occupancy

                             

Roommate preference, if applicable ________________________           

 

AMOUNT DUE:                           night(s) x $                          =   $                                      

 

Payment Information

This application will not be accepted if credit card information is not provided. 

 

  Visa               MasterCard

                                    

Credit Card number:                                                                                         Expiry Date:             /           

 

(Please note: Credit Card charges will be processed approximately one month PRIOR to arrival).

 

Signature: _____________________________________________________________________                                                    

 

Mail/Fax to:            Conference Services                                   Telephone :   709-864-7657        709-864-7933 – Mid-May to mid-August

                        Room 316C, Hatcher House                     Fax#:             709-864-6705       Toll free: 1-877-730-7657 (phone)

                        Memorial University of Newfoundland    Email: conferences@mun.ca  

                        St. John's, NL Canada

                        A1B 3P7

 

The personal information on this form is used as a record of guests staying at Memorial University.  Except as required by law, it will be treated with strict confidentiality.  If you have any questions about the use of this information please contact the Facilities and Summer Accommodations Supervisor at 709-864-7657 or e-mail: bmallard@mun.ca

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