Back to Roommates Page
Back to MESA 2005

For assistance in locating a roommate at the MESA 2005 annual meeting, complete the following information and press the "submit" button.  Your information will be gathered by Mark Lowder who will coordinate the roommate matching service.  If you have questions, please contact Mark at 520 626-6290 or by e-mail at mlowder@u.arizona.edu.

Last Name
First Name Gender Male Female
Department

Institution 

Street

City

State

Postal Code

Country

Work Phone

Home Phone

Fax

E-mail

MESA Member: yes no

Reservation made at Marriott?: (2 beds-double room)  yes no

How many roommates would you like?:

Arrival Date:
Time (if known)
Departure Date:
Time (if known)

Smoking:  yes  no  no preference 

List my name and contact information on the "roommate wanted" 
section of the "MESA 2005" web page:   yes no