Residence Life | Summer Guests - Reservation Request

FOCUS R&R
Reservation Request

First name of STUDENT
Last name of STUDENT
Gender	Male Female
Room Options	Assign me with other students to an apartment suite ($29.00 per student) Assign me and my family to one apartment suite (sleeps four) ($59.00 for entire suite)
Number of guests (including student)	One Two Three Four
names of guests
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
E-mail
FOCUS Session	Tues., June 3 Wed., June 4 Thurs., June 5 Mon., June 9 Tues., June 10 Wed., June 11
Arrival Date:
Departure Date:
Method of Payement (payment is due upon arrival)	Mastercard Visa Check Cash
Other Notes, Requests or Questions

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