NYU Dormitory Registration Form

Please complete the following form and click submit at the bottom of the page.
You should automatically receive a copy of your registration information by email. Note also that the "return key" is often linked to the submit button; one should avoid hitting return, or the submit button, until one is ready to submit.
Deadlines for registration and payment: APRIL 26, 2006
Personal Information
First Name:
Family Name:
Gender:
  Male Female
Full Email Address:
Daytime Phone:
Contact Information
Position at your organization:
Department at your organization:
Organization Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State:
Country:
Zip Code:
Arrival/Departure
Arrival Date:

Departure Date:
Description
Do you agree to the terms of service as described above?
Agreee Not agree
Payment Instruction

In order to secure your dorm room reservation, you must make your payment by April 26, 2006. There are two methods for your payment.

  1. By check

    Mail a check in the amount of (number of nights x $50 per night = amount due; US dollar currency only) to secure your room reservation.

    Please make your check out to: New York University

    Mail it to the attention of:

    Leslie Cerve
    c/o HLT-NAACL2006 dormitory payment
    New York University
    715 Broadway, 7th floor
    New York, NY 10003

     

  2. By credit card

    In order to make payment by credit card, please fill out the credit card form and then fax it back to Leslie Cerve at (212) 995-4967.

Form Submission

When you are ready to submit this form, click the submit button below. Please make sure that all the information you have entered is correct. Incorrect information may result in the reservation not being completed. Please check each item before submitting!!

If you have any questions or concerns regarding this form, feel free to e-mail us .

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