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2010 Annual NACC Conference

Roommate Referral Service

We are facilitating a Roommate Referral Service. Please complete the online form below. Once you are placed on the list you will be e-mailed a list of potential roommates and receive an update each time there are additions. It will be up to you to contact persons on the list to discuss the suitability of rooming together.
The last date that names will be accepted is Monday, March 8, 2010.

Submit Roommate Information Here

Your Name:

Gender:

Female
Male

Smoking Preference:

Smoking
Non-Smoking

Home Phone:
Please include area code
example: 111-222-3333

Alternate Phone:
Please include area code
example: 111-222-3333

Fax:
Please include area code
example: 111-222-3333

City:

State/Province:

E-mail: (Required)

Notes: Do you like to stay up very late? Rise at the crack of dawn? Enjoy playing your accordion before breakfast? Use this space to type any additional details that might be important to us or to your potential roommate.