World Balloon Convention Roommate Request Form

Please fill out the form below to request a roommate for the WBC 2010 at the Sheraton Dallas Hotel. Your information will be processed and forwarded to a WBC 2010 representative, who will contact you regarding possible roommate options. Please be sure to enter information in all the required fields for fastest response. Once we've processed your request and you receive a response, please proceed in contacting your roommate(s) to clarify who will be booking the hotel room and to discuss payment arrangements.

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NOTE: By submitting the WBC Roommate Request form, you automatically consent to having your name and phone number shared with others for the purpose of locating a WBC 2010 roommate.

* Required Fields

*	First Name
*	Last Name:
	Company Name:
*	Address 1:
	Address 2:
*	City:
*	State/Region/Province:
*	ZIP/Postal Code:
*	Country:
*	Phone Number (including area code/country code):
*	E-mail Address:
*	Arrival Date: (MM/DD/YY)
*	Departure Date: (MM/DD/YY)
*	Number of people you would prefer to share a room with:
*	Smoking or Non-smoking: