Request For Conference Housing And Dining Services
Email Results in HTML or Text?
HTML
Text
Contact Name (Last, First, Middle):
Contact Title:
Gender:
Select One
Male
Female
Check In Information
Check In Date:
Check Out Date:
Check In Time:
Early Arrivals:
Check Out Time:
Late Departures:
Information
Mailing Address
City, State Zip
Telephone Number:
eg. 555-555-5555
Email Address:
Group/Conference Information
Group/Conference
Departments/Sponsoring
City, State, Zip
Fax Number:
Type of Group/Expected Group Size
Youth/High School:
College:
Adult:
Please state number of Males and/or Females for your Group/Conference:
Males:
Females:
Linen/Parking
Linen
Linen Needed:
Linen Not Needed:
Parking
Paid by Conference Group:
Paid by Individuals:
Payment Procedures/Tax Exempt Questions
Is your group Tax Exempt?
No
Yes
If your group is tax exempt, you may email supporting documentation, including Tax ID Number, to
conferences@memphis.edu
. Or, if you prefer, you may fax to (901) 678-5129,
Attention: Conference Housing.
Please specify any special needs you or your group partcipants may have during your stay
Payment Procedures
Group Billed:
Paid by Individuals:
University Transfer Voucher:
Food Service
Services Range
Beginning Date:
Breakfast:
Lunch:
Dinner:
Ending Date
:
Breakfast:
Lunch:
Dinner:
An Equal Opportunity Affirmative Action University
