University of Northern Iowa MyUNIverse | E-Mail | eLearning | A-Z Index | Calendar | Directory
  Web  |  Directory
Group Registration Form




Conference Info
Conference Name Current Date 6/30/2015
Check-in Date: Check-out Date:
First Check-in date is May 13, 2015. Last Check-out date is August 09, 2015.
One-hour Check-in to begin at: : AM  PM One-hour Check-out to begin at: : AM  PM
Client/Organization

Primary Contact
Contact Person First Name        MI        Last Name 
Email Work Phone () -
Mailing Address Cell Phone () -
City, State, Zip/Campus Mailcode Home Phone () -

Secondary Contact
Contact Person First Name        MI        Last Name 
Email Work Phone () -
Mailing Address Cell Phone () -
City, State, Zip/Campus Mailcode Home Phone () -

Billing Contact
Do you have an UNI account to bill the cost of the conference? If so, please enter in the account(s) you would like the conference to be billed. If you want your charges divided between two accounts, please enter in the two account numbers below.
Account Number                       
Account Number                       
Contact Person First Name        MI        Last Name 
Email Work Phone () -
Mailing Address Cell Phone () -
City, State, Zip/Campus Mailcode Home Phone () -

Numbers of Guests Expected
Final billing count is due one (1) week prior to check-in date.
One (1) chaperone required per ten (10) youth, 9th grade and older. One (1) chaperone required per eight (8) youth, 8th grade and younger.
Youth registrants will be assigned to non-air conditioned double rooms.
Chaperones/Adult guests can request single rooms.
Youth Females: Adult Females:
Youth Males: Adult Males:
  How many single rooms would you like?
  Would you like air conditioning?

Conference Meals
A Dining Services representative will contact you to discuss meal requirements during your stay.

Additional Services
Internet Access
Linen
Wellness Recreation Center Pass
Parking Pass
 

Comments & Questions
Please see the Group Planning Guide with questions regarding rates and the contract process. Use the box to the right for comments or special requests.

Thank you for your interest in holding your group conference at the University of Northern Iowa! We’re looking forward to hosting your event!