Request for UCSD Conference Services Rates & Information

Please fill in as much as possible and then click the submit button; expect to hear back from us within 48 hours.
 
Name of Conference:
Conference Dates: Arrival (mm/dd/yyyy)

 		 Departure (mm/dd/yyyy)

 
Number of Participants:
(Numbers only)
 
Type of Group:  
Brief description of Conference:

Accommodation Requirements
Number of Single Rooms:  
with linens?
Number of Double Rooms:  
with linens?
Meal Requirements for each day (please check all that apply):
       

Facility Needs Date(s)
(mm/dd/yyyy)		 Capacity
(Numbers
only)		 Equipment
Meeting Room(s)
 
 
Gymnasium(s)
 
 
Outdoor Field(s)
 
 
Auditorium(s)
 
 

Contact Information
*Indicates required field
Name* (First and Last)
 
Address (line 1) Phone*
(###-###-####)
   
Address (line 2) Fax*
(###-###-####)
   
City, State, Zip Email*
 
 
How do you prefer to be contacted?
How did you hear about us?
If Previous Client, please list who
If Other, please specify

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