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
