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Guest Name* Add another guest
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Institution*
Institution Location*
K-State Host Name*
K-State Host Department*
K-State Host Department Phone Number*
Housing Requested*
Brockman House
Edwards Hall apartment
Campus Bridge loft condominiums
Bedroom 1 (6A) Bedroom 2 (6A) Bedroom 3 (6C) Bedroom 4 (6C)
Reservation is confirmed upon receipt of completed contract by K-State Foundation
Date of Arrival*
Date of Departure*
Purpose of visit*
Name of Payment Contact*
Street Address*
City*
State*
Zip/Postal Code*
Phone Number*
Fax Number
Email address*