Main Campus Visit Date

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Street Address

City

State/Province

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Hotel Accommodations
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Hotel Check-In Date

Hotel Check-Out Date

Hotel Room Type

Number of Guests

Guest Name 1

Guest 1
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Guest Name 2

Guest 2
Palmer graduate?

Guest Name 3

Guest 3
Palmer graduate?

Dietary Restrictions/ Food Allergies
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Dietary Needs Other(s) Details

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Comments
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