Climenhaga Homestead Guest Room Request for campus departments

Departments may complete this form to request a guest room for a guest on college related business.

Office/Department:
Contact Person:
PO Box:
Extension:
E-mail:
Reason for visit:
Account Number to be charged:
Name of Account to be charged:
Guest Name:
Arrival Date (4:00 P.M.):
Departure Date (10:00 A.M.):
Number of Guests:
Parking Needed:
All room keys are to be picked up at Dispatch.
Special Requests:
Use this area to request different arrival and departure times, and other special needs.