CNC Housing | Occupant Group Request Form for Coordinator
CNC Housing | 3330 22
nd
Ave Prince George BC V2N 1P8 | p 250 561 5849 | TF 800 371 8111 | e residence@cnc.bc.ca OFFICE COPY | 1
Occupant refers to an individual occupying a room for a period less than 2 weeks for academic purposes, or to a maximum of 14 weeks for non-academic
purposes. This Group Request Form is to be filled out by the Coordinator/Organizer/Leader and must be accompanied by individual Occupant Application
& License Agreements per each Occupant named below. For underage groups, please refer to the Occupant Group Underage Application.
STOP: Carefully and thoroughly
read all sections of this document
CHECK IN TIMES
Mon-Fri 12-3pm | 6-8pm
Sat-Sun 12-2pm | 6-8pm
RETURN this form via email in original PDF format or scan as PDF | no photos please
Application Date
Address
Coordinator First Name
Email
Coordinator Last Name
Phone(s)
Male Female
Requested Date(s) of Stay:
|dd |mm |
TO
|dd |mm |
and | OPTIONAL
|dd |mm |
TO
|dd |mm |
20
Purpose of Stay
Contact Name
Organization Name
Contact Number
|mm |yy |
Cardholder Signature
MANDATORY CREDIT CARD INFORMATION
Visa
MC
YES process full payment upon confirmation of booking
EACH Occupant named below MUST individually complete and sign the Occupant Application & License Agreement - to be
provided to the Group Coordinator and submitted with this form as a package.
First Name
Last Name
Age
Contact Number
First Name
Last Name
Age
Contact Number
TOTAL NUMBER of rooms requested must match individual applications
Rooms | Washrooms | Fees
IMPORTANT
weekly rate applicable only when stay exceeds 2 weeks
combination of both nightly and weekly fees may apply
NIGHTLY
1 to 14 Nights
WEEKLY
3 to 14 Weeks
Standard Private
Standard room | shared washroom | Twin bed | General occupancy
(76)
$30.00 + GST
$170.00 per week
Large Private
Large room | shared washroom | Twin bed | Limited occupancy
(8)
$30.00 + GST
$180.00 per week
Private
Private room | private washroom | Twin bed | Limited occupancy
(8)
$30.00 + GST
$190.00 per week
Linens
Linens Towels | by request | Laundered by Occupant | one-time fee
$15.00 + GST
$25.00 + GST
Security Deposit
Held by credit card | applicable upon damage or negative room inspection
$50.00
$100.00
Cancellations
Same day | No show | Charges applied to credit card
$30.00 + GST
$30.00 + GST
Academic
For 2+ weeks - see Academic & Trades Application
$30.00 + GST
- STOP -