Housing and Medical Form

2019 NEHB Housing, Medical and Dietary Information

All attendees, please provide contact information below.

* Indicates required field

Name *

First

Last

Email *

Contact phone number *

All attendees to NEHB 2019 are REQUIRED to fill out this form no later than Sunday, August 25, 2019.

The default housing arrangements are:

arriving on Friday, departing on Sunday (2 nights)
shared room with 2 queen beds
random roommate
no special meal or medical concerns

If you have no changes to the default arrangements and have no special medical or dietary requirements, just fill in your name and email info above, check the "I am satisfied with the default arrangements" box below, and click Submit at the bottom of the page. If you do have special requests, please continue below.

<-- I am satisfied with the default housing arrangements as specified above. I will check this box and click Submit at the bottom of this form now.

Special Requests

I would like to share my room with the following attendee. Note: your prospective roommate must also fill out this form and request you or no action will be taken. *

I would like a single room for both Friday and Saturday nights, at an additional cost of $125. If yes, please specify in the dropdown list how many beds in the room. *

I would like to arrive a day early and/or stay a day later. We will attempt, but cannot guarantee, to find you a roommate. If not, you will have to pay the single room price of $125 per night *

Please let us know of any special medical or dietary needs you may have. *

Thank you for giving us this important information. Please click Submit now to save your selections and inputs.

When you click Submit your selections and inputs on this page will be saved and you will be taken to a second page where some optional purchases may be made. These include:

Extra hotel rooms (Saturday night only) for friends or family who might want to stay overnight at the hotel after the show. For this night only they will get the same price as attendees of $125
Extra tickets for the Saturday night show for family and friends
Extra meal tickets for family or friends who wish to join you for any/all meals

These items will have to be paid for in advance on the next page, Extra show tickets and meal tickets you purchase will be in your packet at registration. For extra Saturday night rooms, please provide the name of the person who will register.

If you do not wish to purchase any of these items, simply cancel out of the next page.

Please remember - you must click Submit now or your inputs and selections on this page will not be saved!

Thank you!

Submit