2017 Reservation Payment Coupon

2017 Reservation Payment Coupon
Paying your initial Summer Housing Reservation Payment of $500?
Please note, your reservation payment must be submitted within one week of the date you completed your
Summer Housing application.
NAME:
NYU ID NUMBER:
EMAIL:
APPLICANT SIGNATURE:
DATE:
TYPE OF PAYMENT
Please check the appropriate box:
q
Personal Check
q
Money order
PAYMENT INFORMATION
•
•
•
Check or money order has applicant’s name and NYU ID number on the front.
Checks or money order is made payable to New York University.
Please note that cash is not accepted.
AMOUNT OF PAYMENT:
$500
Please mail completed form with payment to:
Residential Life & Housing Services
Attn: Summer Housing
726 Broadway, 7th Floor
New York, NY 10003
OFFICE USE ONLY
Received Date
Processed Date
726 Broadway, 7th Floor | New York, New York 10003 | p: 212.998.4600 | f: 212.995.4099 | [email protected]

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