JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hotel Room Sharing
Want to save costs by sharing a hotel room? Here's your chance!
All rooms at the Holiday Inn that are available for the discounted rate of $135/night include two (2) queen beds and are 100% smoke free.
To receive this rate, you must book your room by
October 24, 2023
. For more information and to reserve your room, visit
https://placebasededconference.org/hotel/
.
Your contact information will be added to the Room Sharing list within 2 business days. This list is protected and only accessible by people on the list. Please keep this in mind when filling out the form.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your Name
Your answer
Phone Number
Your answer
What is your gender identity?
*
Woman
Man
Non-Binary
Prefer not to respond
Other:
What nights will you be booking/staying?
*
Wednesday, November 8, 2023
Thursday, November, 9, 2023
Friday, November 10, 2023
Saturday, November 11, 2023
Required
Are you a...
Night owl?
Early bird?
Clear selection
Do you prefer a smoking or non-smoking roommate?
*
The Holiday Inn Grand Rapids Downtown is a nonsmoking hotel.
Smoking
Non-Smoking
No preference
Tell us about yourself.
*
(workplace, title, location, etc.)
Your answer
Your preferred method of contact.
*
Text
Phone Call
Email
Have you already booked a room?
*
Yes
No
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This form was created inside of Great Lakes Stewardship Initiative.
Report Abuse
Forms