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Housing & Meal Plan Application Form

Summer 2009


(* Required)
With this application, I am applying for summer housing and meals for the following sessions: *
Session IA *
Yes
No
Session IB *
Yes
No
Session II *
Yes
No
I wish to be accommodated in a: *
Double room
Single room
Name *

Home Address *

City *

State *

Zip *

Daytime Phone *

Home Phone *

Mansfield Student ID number (current students only)

Email Address *

To submit form electronically:

Click submit

To submit form by mail:

Print form, sign below and mail to:

Residence Life
Mansfield University
120 Pinecrest
15 Pinecrest Drive
Mansfield, PA 16933

Signature:

 

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