Occupy Mid-West Housing and Information Form

Folks that are planning on attending the Occupy Mid-West Conference that need housing or would like to keep updated on planning for the conference from on the ground in Detroit should fill this form out and make sure to give there Phone number and Email address.

1. Name: (optional)
2. Do you need Individual housing? Or housing for a group?
3. How many people including yourself need housing?
4. Will you have transportation during your visit to Detroit?
5. Do you have or are you willing to bring a tent?
6. Please give Contact Information so we can communicate with you about Housing/Information (optional)
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