Old Dorm Reservation and Information Request Form

You can use this printable form to request a dorm reservation. Just mail the requested information below. An electronic version of this form is also available.

c/o Department of English
University of Kansas
Wescoe Hall
1445 Jayhawk Blvd., Room 3001
Lawrence KS 66045-7590 

[  ] I plan to attend the Campbell Conference, July 16 - 18. ($40 - $50, check to CSSF)
Check-in date and time (check-in is after 2pm): _____________________________________________ 
Check-out date and time (check-out is by 11am): _____________________________________________ 

[ ] I need a housing (dorm) reservation for these nights: ________________________________ (check to CSSF)      (Calculate the rate: $19 per night double, $38 per night single).      Participants must submit reservations by June 15. If reserving a dorm room, do you prefer single or double occupancy?

[  ] Single

[  ] Double
Note: You must first work out your roommate before we can register you for a double room.

If double occupancy, roommate's name: _____________________________________________

If double occupancy, roommate's email address: _____________________________________________

[ ] I would like more information about _____________________________________________________________ Please complete the following information:   Name: ________________________________________________________________________________________________   Street address: ______________________________________________________________________________________   City: __________________________________________________ State: ___________ Zip: ___________________   Phone: ______________________________________ Email: _________________________________________

form updated 3/9/2010
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