SPLASH 2016 - Room share request form
* Required
I would like to share a room with another SPLASH attendee ... I am
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A man
A woman
Prefer not to say
My arrival date is
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MM
/
DD
/
YYYY
My departure date is
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MM
/
DD
/
YYYY
Exact dates
Please contact me only if someone matches my exact dates
It is fine for me to take one night on a single basis and pay the full cost of the room
It is fine for me to take two nights on a single basis and pay for the full cost of the room
It is fine for me to take one night or two on a single basis but I would then move to another property
Other:
Clear selection
I already have a hotel booking
No, and I am looking for a room at the conference hotel ONLY
No and I am willing to share at another property
Yes, at the conference hotel
Yes, at another property
Clear selection
I am a
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Student
Non - Student
My First name
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Your answer
My last name
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Your answer
My email
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Your answer
My registration number
*
Enter TBD for reg number if you are not yet registered - however, you will not be matched until you validated your registration
Your answer
Comments
Your answer
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