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2017 Room Share Form

For those 2017 AMIA Conference participants who are interested in sharing accommodation in New Orleans, AMIA will maintain a list of attendees searching for roommates. You will be emailed a copy of the list so that you may contact potential roommates directly.

We encourage you to reserve your room early.

Deadline is October 23, 2017
Contact Information(Required.)
I prefer to be contacted by: (Required.)
I prefer....(please note: all rooms are non-smoking)(Required.)
I arrive on (date)(Required.)
I depart on (date)(Required.)
Please list any special requests or requirements here - these will be included in the information sent to other room share participants.
Hotel Reservation Deadline Date: October 23, 2017
More information available at www.AMIAConference.com
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