Summer Camps and Conferences Reservation Form University Housing, University of South Carolina Aiken 471 University Parkway, Aiken SC, 29801 803-641-3790 housing@usca.edu fax 803-641-3785 *Please Complete All Requested Information* General Contact Information: Group Name _____________________________________________________________________________ Contact Person ________________________________Email_________________________________ Work Phone ______________________ Cell Phone_______________________ Fax_______________________ Address __________________________________City ______________ State_______ Zip _________ Billing Information Organization Name & Department___________________________ Contact Name ________________________ PO/Fund/Reference Number ____________________ Preferred Billing Method ______________ If Invoice, please provide billing information: Phone ______________ Email_____________________________ Billing Address _____________________________________ City _______________ State ______ Zip __________ Reservation Information Total Number of Participants_________ Number of Counselors/Coaches __________________ Number of Double Rooms _____________________ Number of Single Rooms __________________________ Arrival Date __________________________ Check in Time ___________________________ Departure Date ________________________ Check out Time _______________________ Special Requests (for example: early staff check in, meeting space needs):____________________________ ____________________________________________________________________________________________ (*Please note that not all special requests may be available or offered.) Please Complete and Return to University Housing