Complete this form in order to cancel your Visiting Summer Student Housing reservation. Please contact us via email, by phone at 212-854-2946, or in person at 118 Hartley Hall with any questions. First Name * Last Name * Address * Phone Number * Email * Session Canceling * Reason for Cancellation * Today's Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20152016201720182019 I hereby inform Columbia Housing that I want to cancel my Visiting Summer Student 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.