MESA 2009 Roommate Matching Form

MESA 2009 Roommate Locator Form

For assistance in locating a roommate at the MESA 2009 annual meeting, complete the following information and press the "submit" button. Your information will be posted on MESA's website on the "Roommates Wanted" page. If you have questions, please contact Mark Lowder at 520 626-6290 or by e-mail at mlowder@u.arizona.edu.

Last Name

First Name

Gender Male Female

Department
Institution
Street
City
State
Postal Code
Country
Work Phone
Home Phone
Fax
Email

MESA Member: yes no

Reservation made?: (2 beds-double room) yes no

How many roommates would you like?:

Arrival Date:
Time (if known)
Departure Date:
Time (if known)

Please note that the Boston Marriott Copley Place is a non-smoking hotel.

List my name and contact information on the "roommate wanted"
section of the "MESA 2009" web page: yes no