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Rooming List

Symbol Key: *Required Information, ! Error


Your name:
E-mail:
Club name:
Pay for this stay through UD Procurement:
Hotel name:
Hotel address: Provide complete address.
Hotel phone:  (use format nnn-nnn-nnnn)
Hotel fax:  (use format nnn-nnn-nnnn)
Hotel web site:  
Hotel Federal Tax ID number:
Confirmation number: You must make initial reservations and retain the confirmation number.
Dates of stay:
Number of nights staying:
Number of rooms:
Cost per room, per night:
Name(s) rooms reserved under:
Name of each person housed, by room:   Non-UD students must pay for their portion of a room.

Room 1    Room 2
Room 3 Room 4
Room 5 Room 6
Room 7 Room 8
Room 9 Room 10
Room 11 Room 12