El Verde Field Station

- Reservation Request Form: Use this form when planning a visit to the station

Note: Fields in green are required. Do not use the "#" character in the text boxes, use Number or No. instead.

A. Group leader information:

Name:
Institution:
Telephone:		Fax:
E-mail address:

B. Group information:

Group Size (including yourself):	No. Male:		No. Female:
Proposed Arrival date:				Proposed Arrival Time:		AM PM
Departure date:
Building	Dormitory Building ($25/night pp) Apartment Building ($35/night pp)
Purpose of your visit:
Briefly state the purpose of your visit:

Please note that:
- This is only a reservation request; you should receive an e-mail confirming your reservation.
- We reserve the right to change or cancel your reservation as necessary.