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Climenhaga Homestead Guest Room Request
Messiah College alumni may complete this form to request a guest room in the Homestead.
First Name:
Last Name:
ID Number:
(if known)
Address:
City:
State:
Zip:
Country:
Phone Number:
E-mail:
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
2007
2008
2009
4:00 p.m.
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
2007
2008
2009
10:00a.m.
Number of Guests:
1
2
Parking Needed:
Yes
No
Special Requests:
Use this area to request different arrival and departure times, and other special needs.
Reason For Visit:
Use this area to explain your reason of visiting(REQUIRED).
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