Reservation Form Pour voir les formulaires de l’Université de Moncton, veuillez activer la fonction Javascript. Formulaire de réservation Personal Informations The field is entered correctly. The field is required. The field is entered correctly. The field is required. The field is entered correctly. The field is required. The field is entered correctly. The field is required. The field is entered correctly. The field is required. The field is entered correctly. Please enter a valid postal code ex.:A9A-9A9. Province *AlbertaColombie-BritaniqueÎle-du-Prince-ÉdouardManitobaNouveau-BrunswickNouvelle-ÉcosseNunavutOntarioQuébecSaskatchewanTerre-NeuveTerritoires du Nord-OuestYukonOther The field is entered correctly. Please select. The field is entered correctly. The field is required. Country *Canada United States of AmericaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia and HercegovinaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurma (Myanmar)BurundiCambodiaCameroon Canary IslandsCabo VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCook IslandsCosta RicaCôte d’Ivoire (Ivory Coast)CroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlands, TheNetherland - Sint MaartenNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorthern MarianasNorth KoreaNorwayOmanPakistanPalau PanamaPapua New GuineaParaguayPeruPhillipinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent & the GrenadinesSaint-Pierre-et-MiquelonSamoaSan MarinoSão Tomé and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTadjikistanTaiwanTanzaniaThailandTimor-Leste (East-Timor)TogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandTuvaluUgandaUkraineUnited Arab ErimatesUnited KingdomVirgin Islands (USA)UruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe The field is entered correctly. Please select. The field is entered correctly. Please enter your phone number (506) 000-0000. The field is entered correctly. Please enter your Cellular number (506) 000-0000. The field is entered correctly. Please enter a valid email address. Information on the stay Arrival Date *: The field is entered correctly. The field is required. Departure Date *: The field is entered correctly. The field is required. Number of Persons The field is entered correctly. Please enter a valid number. The field is entered correctly. Please enter a valid number. The field is entered correctly. Please enter a valid number. Housing Preference Quantity of studio requested * Select0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200 The field is entered correctly. Please select. Résidence Lafrance: 1 personne par studio Select0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200 The field is entered correctly. Please select. Résidence P.A.-Landry : 1 personne par studio Select0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200 The field is entered correctly. Please select. Résidence Lefebvre - Studio 3-chambres : 3 personnes par studio Select0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200 The field is entered correctly. Please select. Résidence Médard-Collette – Studio 2-chambres : 2 personnes par studio Select0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200 The field is entered correctly. Please select. Appartements – 1 chambre : 2 personnes par appartement Select0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200 The field is entered correctly. Please select. Appartements – 2 chambres : 4 personnes par appartement Comments * The field is entered correctly. The field is required. The security code field is required The security code is incorrect Submit