Emerging Artist: Student Apartment Application

This is your form description. Click here to edit.

I understand that typing my full name in the field below constitutes a digital signature. I have thoroughly read, understand, and agree to the rules and regulations as stated above. *
Name * First Last
School *
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Email *
Lodging Selection * One bedroom ($40 per night) Entire Apartment ($80 per night)
Each apartment has two bedrooms, each with its own bathroom, and one shared living/kitchen area. If you choose one bedroom, you will share an apartment with another person.
Which days would you like to stay? * Thursday Friday Saturday Sunday Monday
You must check-in by 7:00 PM on the first night you select in order to receive your room key.
Who would you like to share a room with (if applicable)?
Total Rent Due * $ . Dollars Cents
After you submit this form you will be directed to the online store where you must complete the registration by paying your rent. Take note of the rent amount due and pay the appropriate amount.
Upon check-in, I will provide a check in the amount of $75 as a key deposit, which will be returned to me when I return the room key by 5:00 PM on the last day of my stay. * Yes
We will send you a PayPal invoice to make your room payment.
Type the letters you see in the image below.