First Name

Family Name

MTA Email

Alternate Email Address

Mailing Address

Country of Citizenship

Telephone

Gender Male Female

Anticipated Arrival Date at MTA (YYYY/MM/DD)

Arriving by air / bus / train/ car (select one) Air Bus Train Car

If arriving by bus / train / car, estimated arrival time AM PM

If arriving in Moncton by air, arrival time Flight No.

I require airport pick-up from Moncton ($15)(select one) Yes No

PLEASE NOTE:  Mount Allison will be closed for the holidays from Dec. 23 to January 2.  Regular operations will resume on January 3.  University residences will re-open January 6 at noon.  Dining Services will resume at noon on January 6.