Climenhaga Homestead Guest Room Request

 

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:	January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2013 2014 4pm
Departure Date:	January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2013 2014 10am
Number of Guests:
Parking Needed:	Select... Yes No
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.