UMD Summer Housing Registration

SENIOR SUMMER HOUSING

UNIVERSITY OF MINNESOTA DULUTH

2013 Reservation Request

Form must be completed for each person or couple. Please complete the form and choose "Submit it!" on the bottom of the page.

Name(1):
Name(2):
Address:
Address:
City:
State:
Zip:
Country:
Home Phone:
Cell Phone:

Select a rental period and a preferred apartment accommodation (you need to select a rental period along with an apartment location):

	June 4, Tues. - August 14, Wed. Ten week rental. Meal card valued at $200. Cost is $2590 per apartment Location of Apartment: Oakland B Apts. Goldfine Apts. Heaney Hall Apts.
	*June 4, Tues. - July 30, Tues.* Eight week rental. Meal card valued at $200. Cost is $2125 per apartment Location of Apartment: Oakland B Apts. Goldfine Apts. Heaney Hall Apts.
	June 19, Wed. - August 14, Wed. Eight week rental. Meal card valued at $200. Cost is $2125 per apartment Location of Apartment: Oakland B Apts. Goldfine Apts. Heaney Hall Apts.
	July 10, Wed. - August 14, Wed. Five week rental. Meal card valued at $100. Cost is $1415 per apartment Location of Apartment: Oakland B Apts. Goldfine Apts.

Television Rental Request:
Yes No

Do you qualify for disabled parking? eg. permit or plates :
Yes No

Additional Information you may need?

A thirty day written notice of arrival/departure changes in advance of arrival date is required to prevent being charged for the dates on the reservation request form. No change of dates will be permitted once residents arrive. Request forms not filled out properly may result in delays. Deposit will not be accepted until notification of assignment.

Please include your e-mail address if you would like a reply varification from the submission fo this form. NOTE: You do not have to have an e-mail address to use this form. If you do not supply one, we will contact you via phone or mail to varify your submission:

Page URL: http://www.d.umn.edu/housing/summer/register.htm
Last Updated: Tuesday, 11-Dec-2012 10:15:40 CST
Summer Housing Information:
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The University of Minnesota is an Equal Opportunity Educator and Employer