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RETURN to Summer Visitor Housing Website

Summer Visitor Housing Reservation Request Form
 
*=required field
Name first*
middle initial
 last*
 
Gender * male    female
Address street address *
 
     

city *

state

country *
zip (or postal code for non US addresses)
 *
Telephone
area code *
phone number *
   
   
Fax
area code
phone number
   
Email*
How did you hear about us?* Facebook     Yelp Twitter     Brochure Campus Referral    
Other
Are you attending a conference or program? *
YES NO
Please enter the name of the conference that you are attending
 Please type in your reason for visiting or your UC Berkeley affiliation

UC BERKELEY STUDENT With Fall HOUsing?



Check this box if you are a UC Berkeley student with a fall housing assignment
and you want to request an early move-in. You will be contacted by the Summer Visitor Housing Staff.

Arrival date *

, 2012(start 6/1/2012)

   
Arrival time * (reservations are held until 6pm unless a later time indicated)
   
Departure date * , 2012 (check out time is 12:00 noon)     (end 8/14/2012)
   
Room Selection *
(please check one)		 Single Room $64.00 per night
Number of Single Rooms Requested 		Double Room $64.00 per night
Number of Double Rooms Requested
RoomMate Name(s) Please separate multiple names with commas