Complete this form in order to cancel your Intern Housing reservation. Please contact us via email, phone 212-854-0365, or in person at 114 Hartley Hall with any questions. First Name * Last Name * Home School * Address * Phone Number * Email * Reason for Cancellation * Today's Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year201820192020 I hereby inform Columbia University Conference Housing that I want to cancel my Intern Housing reservation. I understand that by canceling my reservation, space will not be held for me at Columbia University, and I am subject to any cancellation penalties. (Typing your name in the box below is an electronic signature and is as binding as a written one.) Your Full Name * CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.