Reservation Form

Reservation Form

Reservation Form

Reservation Form

Applicant

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Please enter your last name.
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Please enter your first name.
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Please enter the group name.
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Please enter your phone number in the following format (506) 999-9999.
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Please enter your e-mail.
Please enter your cellular number in the following format (506) 999-9999.
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Please enter the name of the person in charge.

Activity

Number and description of participants *
Please enter the number and description of participants
Detailed description of the activity1 *
Please enter a detailed description of the activity
Will the Medias be present at the event? *
Do you plan to make some request with the university community (solicitation)? *
Do you plan to ask for an admission fee during your activity? *
Will alcohol beverages be served at your activity? *
Do you plan to do a smudging ceremony?
(This activity must be notified 7 days in advance) *
Do you plan to sell material, equipment or services during your activity? *

Information collected for the room rental contract

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Please enter the contract’s signatory.
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Please enter your title.

Billing information

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Please enter the billing last name.
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Please enter the billing first namem.
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Please enter the billing e-mail.
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Please enter the billing group name.
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Please enter the complete billing address.
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Please enter the billing phone number in the following format (506) 999-9999.
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Please enter the billing extension.
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Please enter the billing fax number in the following format (506) 999-9999.

Room rental dates and hours

Date (AAAA-MM-JJ)
Hours (ex. 08:00 à 18:30)
Please enter at least one choice.
Please enter at least one choice.
Other information
Please specify.

Room rental information

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Please enter the number of rooms to reserve.
Room style *

Information technology needs2

Please specify.

Liability insurance certificate

Optionnal services3

Please specify.

The security code field is required
The security code is incorrect