SRER reservation form

SRER reservation form

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* Denotes Required Field Input

Today's Date*:
Name*:
Department:	Other Dept, University, or Organization:
Department:	"Outside" Organizations must fill out a Letter of Agreement (link): http://cals.arizona.edu/aes/cac/letter-agr-srer.pdf AND "Outside" Organizations must submit a Certificate of Insurance (link): http://cals.arizona.edu/aes/cac/insurance-req.htm
e-mail address*:
Phone number*:	Fax*:
Purpose of visit*:
Project Name*:
Project Number, if assigned:
Martin House -	(sleeps 4-6) Date(s) of Stay:
Bunkhouse -	(sleeps up to 19) Date(s) of Stay:
Picnic Area -	Daytime use only - Date(s):
Other -	Please Specify:
OVERNIGHT CABIN RATES:	RATES FOR ONE NIGHT STAYS: -Students affiliated with State of AZ University System: $15.00 -Other Students: $20.00 -Instructors affiliated with AZ State Univ System: $20.00 -Instructors not affiliated with AZ State Univ. System: $25.00 -Others : $25.00 Tenting Rate per Person: $10.00 RATES FOR 2 OR MORE NIGHT STAYS: -Students affiliated with State of AZ University System: $10.00 -Other Students: $15.00 -Instructors affiliated with AZ State Univ. System: $15.00 -Instructors not affiliated with AZ State Univ. System: $20.00 Others: $25.00 Tenting Rate per person: $10.00 *SPECIAL EVENTS:* -$10.00 per person NOTES: 1) Fees based on total # of people in party for total length of stay regardless of whether some members of the party come and go during the period of the stay. 2) Payments received after party departs are subject to a minimum of 10% added charge unless prior arrangements are made. 3) SRER Reserves the right to cancel reservations at any time. Other rules and policies apply. 4) Check out by noon of departure day unless other arrangements are approved by SRER Staff. 5) NO DOGS ALLOWED.

Estimated Time of Arrival:

Number of Persons:	Number of nights:
	Total Persons per Night - (multiply persons x nights):
	Total charges Total fee: Multiply person/nights by fee (see fees above in light blue colored box)
Method of Payment:	Inter Department Billing Form, "IDB" - Please enter fund number: Please send an original IDB to the Campus Ag Center, Forbes 304. Other method of payment-Check or Cash? (no credit cards accepted): If paying by check or cash, please pay Mark Heitlinger, SRER Manager before you leave. Make check out to "University of Arizona" For your records, please print this page before submitting reservation information.
	If you have any questions regarding the facilities at the Santa Rita Experimental Range, you may call Mark Heitlinger at (520) 625-3243, or, e-mail at markh@cals.arizona.edu.

Page last revised or reviewed April 5, 2012