Roommate Request at the MCI Symposium/Workshop/Forum

1. Your contact information: *This question is required.

First Name

Last Name

Country

Email Address This question requires a valid email address.

2. Your gender:

3. Check-in This question requires a valid date format of MM/DD/YYYY.

calendar

4. Check-out This question requires a valid date format of MM/DD/YYYY.

calendar

5. Smoking preference:

6. Additional notes regarding the request for a roommate.