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Summer Guest Housing Application

(For Individual MIT Affiliate Guests)

June 9th - August 10th, 2008

 

 

When requesting a reservation please complete the following information : (ALL FIELDS REQUIRED !!!!)

Guest Information

First Name: Last Name:

Address :

City: State Zip Code

Phone: Email Address:

Number of Guests: Guest Gender : Male Female

Billing Information

If paying by credit card, a link to our secure payment web site will be sent with your final confirmation. Credit Card payments are processed in advance of check-in, there is no credit card system at the front desk. ***Checks should be presented at the front desk upon check in .***

MIT Affiliation (all guest must meet guest housing affiliation requirements)

  • MIT ID number: (For students & staff)
  • MIT Department Sponsorship: **Account #

** Department account numbers are required for "Department Sponsored Guests" . This should be included in the application or sent by an authorized account approver via e-mail to residence@mit.edu". **

Building Preference (cannot be guaranteed - subject to availability)

Room Type: Single / Double / Efficiency

Air Condition preference: Air Condition / No Air Condition / No Preference

Check-In / / ***** Check-Out / / **** Number of Rooms

Comments/Special Requests:

*** *** I have read and agree that this is only a request for the summer term stay during the period of June 9th - August 10th, 2008. Submission of this form does not guarantee that your request will be granted. Written notification will be sent once your reservation has been accepted and confirmed.

Please review this form for correctness, then when finished. Or, click this button to erase your entries and start over. Reservation confirmation will be sent via email. (Note: Missed fields or check boxes will result in an "error" message.)