Print this form out using the Print command in your browser, then fill out each line and send the completed form to the address below.

Name: __________________________________________________________

Name of spouse: ________________________________________________

Street address: ________________________________________________

City, State, ZIP: ______________________________________________

Home phone: (______)____________________________________________

Business phone: (______)________________________________________



Arrive — date/time (check-in: 2 p.m.): ________________________

Depart — date/time (check-out: 12 noon): ______________________



Principia affiliation:

Alumna(us); class year ___________

Parent (student's name) _______________________________________

Other: Please explain _________________________________________

_______________________________________________________________



How many in room? __________

Mail or fax the completed form to:
Resident Manager
Principia Guest House
Principia College
Elsah, Illinois 62028-9799

Telephone:
800-277-4648 ext. 2890
Fax: 618-374-5983
Email:guesthouse@principia.edu

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