Room Sharing Form

The Protein Society, their officers, employees, and agents assume no
responsibility with respect to these services and accept no liabilities relative to the
services. Submission of this form indicates your acknowledgement and acceptance of this
disclaimer of liability.

It is the responsibility of the individual to email or call anyone with whom you wish to share a room.

Click here to view the current list of individuals seeking a roommate.

Click here to delete your name from the room sharing list.

Please email protein@faseb.org if you would like to have your name removed from the room-sharing list.

*	First Name:
*	Last Name:
	Company:
	Department:
	Address:
	City/State/Zip:
*	Phone:
*	Email:

*	Arrival Date:
*	Departure Date:
*	Gender:
	Smoking Preference: