Reservation Form

Reservation Form

Reservation Form

Formulaire de réservation

Personal Informations

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Please enter your last name.
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Please enter your first name.
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The field is required.
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The field is required.
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Please enter a valid postal code ex.:A9A-9A9.
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Please enter your phone number (506) 000-0000.
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Please enter a valid email address.

Information on the stay

Arrival Date *:
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Departure Date *:
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Reason for your stay on the campus. Please provide the contact name at the Université de Moncton (if applicable) *
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Name of residence preferred

Le champ code de sécurité est obligatoire
Le code de sécurité est erroné