IDS Conference Housing Registration

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IDS Conference Housing Registration

Dates

07/26/2023 - 07/28/2023

Cost

Single Occupancy: $70.00 per night per person with linen package
Double Occupancy: $60.00 per night per person with linen package
(Linen package includes sheets, pillow case, pillow, blanket, towel set, and mattress pad.)

* indicates required field

Contact Information

First Name

Last Name

Organization/Affiliation

Street Address

City

State

Zip/Postal Code

Phone Number

Alternate Phone Number

Email Address

Gender

Male

Female

Other

Emergency Contact

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Reservation Details

Room Preference

Single Occupancy

Double Occupancy

If requesting a double room, please be sure to have your desired roommate complete a housing request.

Check In Date

Check Out Date

Comments/Special Needs

Payment Information

Total

First Name on Credit Card

Last Name on Credit Card

Billing Address

Same address as above

Please make sure your address is typed exactly as it appears on your credit card statement

Street Address

City

State

Zip Code

Country

Credit Card Information

Credit Card Number

Expiration

CVV2 / CVC2

3 or 4 digit code on back of card

My card has no CVV2 imprint

I authorize Utica University to charge my account the housing registration fees for the IDS Project Conference. *

IDS Conference Housing Registration

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