Please be sure to complete all fields before clicking ‘submit.’   Please allow 48 hours for a response.  Completing this form does not guarantee you a reservation, please be sure to check your email in the next 48 hours to find out if there is a room available for your requested dates.

Reservation Request Form

First Name: *

Last Name: *

E-mail Address: *

Phone Number: *

Address: *

City: *

Province / State: *

Country of Origin: *

Name of School: *

Nationality: *

Age: *

Gender: *

Please Select Male Female

Room Type: *

Please Select Private Room Shared Room

Number of people requesting reservation: *

Please Select 1 2 3 4

Preferred Building: *

Please Select Ansonia Golden Gate Hall Sutter

Start Date of Stay: *

(ddmmyyyy)

End Date: *

(ddmmyyyy)

 

 

Enter the three letters from the image to the right: *