PRIVATE
HOUSING FORM
Maine Conference Annual Meeting
June 20 - 22, 2008
University of Maine, Farmington
If you are interested in staying in a private home, rather than the dormitories at the University, please complete this form and sent it to the address at the bottom of the page.
Name _____________________________________________________________________________________
Address ____________________________________________________________________________________
______________________________________________________________________Zip__________________
Phone ___________________________________________ Email _____________________________________
Church _____________________________________________________________________________________
Date of Arrival: (circle one).......... Thursday, June 19........... Friday, June 20............ Saturday, June 21
Date of Departure: (circle one).......Saturday, June 21 ............Sunday, June 22
Number of People needing housing: _______
Pet allergies? _____No ____ Yes: cat ____ dog ____ other____________
Smoker? _____No ____ Yes
Preferred bed: Twin ____ Double ____ Queen ____
Bunk bed OK? _____No____ Yes, ____ Yes lower bunk only
Shared bathroom OK? ______No _____ Yes
Breakfast may be purchased in town or ordered on the Registration form
Please send, e-mail, or telephone your request to:
Rina
Bardo
PO
Box 101
Wilton, ME 04294
phone: 207-645-4713
E-mail: dnrbardo@gwi.net