New College Summer Residence Reservation Form

For Reservations May 04, 2015 to August 22, 2015

New College Summer Residence Office Room #1007

40 Willcocks Street, Toronto ON, M5S 1C6, Canada
Tel: (416) 946-0529 Fax: (416) 946-3801
Email: summer.newcollege@utoronto.ca
Fill in this form and PRINT it. Then do ONE of the following: (1) FAX , (2) EMAIL, or (3) MAIL it. Fill in
ONLY ONE reservation form for a double room.
Male

First Name

Female

Address

Last Name
City

Province/State

Country

Telephone

Postal/Zip Code
Email

Arrival Date
(after 3pm)

Departure Date
(before 11am)

Total Number
of Nights

TYPE OF ACCOMMODATION
Single

Double (2 single beds)

If you selected double:

Male

Name of Roommate

Female

RATE
Student

Special Rate Code

Non-student

ADDITIONAL INFORMATION
Select one if you are reserving for the full
session May 4 - August 22 (110 nights):
Select your preferred residence if you are booking
for a sessional stay (note: choice is not guaranteed)

Monthly Daily Rate

Wetmore Hall Residence

Sessional Daily Rate

(balance is due on arrival)
45 Willcocks Residence

Where did you hear about us?

Please refer to the chart on the right to determine the amount of NON-REFUNDABLE deposit
required to reserve a room.This deposit will be applied to the total amount owing and will not
be processed unless we can book a room for you.

Payment Method

VISA

Expiry Date
(month/year)

Address
Postal/Zip Code

Signature of Cardholder

City
Country

6 - 28 NIGHTS
29 NIGHTS AND MORE

American Express

Mastercard

Credit Card
Number

Stay
1- 5 NIGHTS

Deposit
$25.00
$40.00
$100.00

Discover Card

Name on
Card
Province/State

3 digit CVC Number on back of card

Date

I declare that I have read, understand, and agree to abide by the Rules and Regulations of the New College Summer Residence (available
online http://www.ncsummer.utoronto.ca/book-a-room/). I understand any personal information submitted will be protected in
accordance to the Freedom of Information and Protection of Privacy Act.

Signature of Resident

Date