Name *

First Name

Last Name

Phone *

(###)

###

####

Do you have a roommate(s) selected to group purchase lodging? Or would you like us to pair you with a roommate? *

I have a roommate(s)

I would like you to pair me with a new friend!

Do you have accessibility needs we should consider in room assignment?

No

Yes, please specify in the comments below

Do we have your consent to email you with your appropriate checkout link in the next 48 hours? *

Yes

No, I'd like to be contacted another way