Housing Deposit Payment
Student ID number
Student Social Security Number
Student's full name

Session being Paid for    Year:
     
Student Housing Deposit $125.00

What dollar amount are you paying? $125.00
Card Type?
Name as it appears on the card
Billing Address
Billing City, State, ZIP
Card Number
Card Expiration  / 
Security Code (on back of card)
Contact Telephone number
In case of difficulty
Contact Email Address
In case of difficulty
 
ALLOW AT LEAST 2 DAYS FOR PROCESSING EXCEPT DURING PEAK PROCESSING TIME SUCH AS AFTER GRADUATION OR BEFORE A LONG TERM SEMESTER BEGINS; AT WHICH TIME, 7 WORKING DAYS WILL BE NEEDED FOR PROCESSING.