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On-line
Registration Kit

Roommate Matching Service

In an effort to reduce the cost of the 2010 EMS meeting, EMS is again providing a roommate matching service. If you are interested in sharing room costs, please submit this completed form.

Please note that this is only a matching service. Matched roommates will still be responsible for making their own hotel reservations!

The Environmental Mutagen Society will handle communication between people wishing to participate in the room sharing program. Please note that it is the responsibility of each participant in the program to make their room reservation, communicate with and to work out an agreement with a potential room sharer. The Environmental Mutagen Society’s role is strictly limited to the maintenance of the list of registrants who have signified interest in the program. The Society will maintain the list but does not (a) screen participants, (b) make any determination as to the appropriateness of any resulting room share, or (c) guarantee a resulting room share.

Fields in Red are required.

Last Name First Name Middle Name
Address  
City State/Province Zip/Postal Code
Daytime Phone Number Fax E-mail
 
Age Gender  
 
Smoker Share with a Smoker?  
Arrival Date Departure Date Number of Nights a room is needed?

   

Complete this form and submit it. Please note that information marked in red* above is required before the computer will accept your submission. Refer any questions about the EMS Roommate—Matching Service to: EMS Headquarters.