Payments Guests (MCC-UIUC)

If you plan to bring a guest to one or more events, please submit information about yourself and your guest below. After you indicate which events your guest will attend, this form will bring you to a secure website where you can pay with a credit card.

Participant Information

First Name*

Last Name*

Email address where you want a confirmation email to be sent.*

Banquet on Thursday, June 19, 2008

If you would like to bring a guest to the banquet, please submit the information below. Fee: $50 per guest.

Number Banquet Guests

Ex: enter '1' for one person

Banquet Guest Name 1

Banquet Guest Name 2

Reception on Tuesday, June 17, 2008

If you would like to bring a guest to the reception, please submit the information below. Fee: $25 per guest.

Number Reception Guests

Reception Guest Name 1

Reception Guest Name 2

Lunches

If you would like to bring a guest to lunch, please submit the information below. Each lunch is $10.

Number Lunch Guests

Dormitory Housing

The dorm rooms are for single travelers. If you want your guest to stay with you, we will try to find other dorm arrangements (either a double room or two single rooms which share the same bathroom). The cost will be $39.45 + tax, per person. Please indicate the number of nights you will have a guest in the dorms.

Housing Number Nights

Registration payment

Payment Method*

A pre-paid purchase order is different from a regular purchase order. Your department's Business Office will very likely know how to issue one to you.

Banner Number

This field is for UIUC participants only.

Other*

What color is a red apple?*

To deter spambots, we added this question. The answer is in all lowercase letters, without spaces.

Guest Payment Information