CMUBS Group Application for Use

Institution/Organization and Lab Name (if applicable)

Primary Contact Person's Name (First and Last)

CMU ID Number (if applicable)

Email

Address

City

State

Zip Code

Telephone

Arrival Date

Departure Date

Please describe the purpose of your visit:

Please explain any special housing arrangements needed (i.e. adults in one cabin, students in the other, etc.)

Number of adults in your group?

Number of minors in your group?

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code is case sensitive.