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Will your parent's or guardian be joining us?
What prompted you to call?
Will your parent's or guardian be joining us?
On a scale of 1-10, how likely are you to move forward?
What time zone?
Is your time zone correct?
Your Time Zone:
Date:
Time:
Date:
Time:
CEDAR
BREAKS
37.6347° N, 112.8451° W
BRYCE
CANYON
37.5930° N, 112.1871° W
GRAND
STAIRCASE
37.4047° N, 111.6841° W
ZION
NATIONAL
PARK
37.2982° N, 113.0263° W
Do you have any questions?
Terms: 12-Month Lease
Deposit:
Monthly Rent:
11A
11B
11C
10A
10B
10C
9A
9B
9C
7A
7B
7C
8A
8B
8C
2A
2B
2C
3A
3B
3C
5C
1C
1A
1B
4B
4A
6A
6B
6C
5B
5A
4C
First and Last Name?
Name:
Is the guardian's name spelled correct?
Address?
Address:
,
Is the guardian's address correct?
Cell Number?
Cell Number:
Is the guardian's cell number correct?
Email Address?
Email:
Is your email correct?
Date of Birth?
Is your date of birth correct?
Date of Birth:
Social Security Number?
Is the guardin's social security number correct?
Guardian's Social Security Number:
Date of Birth?
Rent:
Utilities:
Text
Refundable Security Deposit:
Unit Restoration Fee:
Lease Initiation Fee:
Total Security Deposit:
______________________________________________
First and Last Name?
Name:
Is your name spelled correct?
Address?
Address:
,
Is your address correct?
Cell Number?
Cell Number:
Is your cell number correct?
Email Address?
Email:
Is your email correct?
Gender?
Date of Birth?
Is your date of birth correct?
Date of Birth:
Social Security Number?
Is your social security number correct?
What year in school?
What is your major?
No Drugs
No Smoking
*Unless an Assistant Animal verified by A+ Student Suites with a doctor’s note.
No Pets
No Weapons or Explosives
No Water Furniture
No Items that present risk to health or safety
Use command hooks & strips
Do NOT Damage Walls
No Mounting TVs on Walls
Use provided TV stands
No Bikes Inside Unit
Use provided bike racks
No Guests
Unless approved by A+ Student Suites
Only 1 Car
Keep Unit Clean
Will you have any assistance animal according to the Fair Housing Act?
How would you like to pay for your deposit and first semester of rent?
Check
Credit Card
* 3% Transaction Fee
* 0% Transaction Fee
Account Number
Name on Checking Account?
John Doe
Is your checking account name correct?
Checking Account Name:
What is your bank name?
BANK NAME
Is your bank name correct?
Bank Name:
Routing Number?
Is the routing number correct?
Routing Number:
Account Number?
Is the account number correct?
Account Number:
What is the name of your account?
Is your account name correct?
Checking Account Name:
What is your bank name?
Is your bank name correct?
Bank Name:
Routing Number?
Is the routing number correct?
Routing Number:
Account Number?
Account Number:
Is the account number correct?
Name on Card?
Is the card name correct?
Name:
Billing Address?
Address:
,
Is your billing information correct?
Card Number?
Card Expiration Date?
Card Security Code?
Credit Card Number:
Expiration Date:
Security Number:
Is your card information correct?
Private Room:
Deposit:
Monthly Rent:
1. Signed by a doctor
2. State Renter has disability
3. Explain the need for animal
4. Be current & legitimate
Renter will pay for damages done by Assistance Animal
Rent:
Utilities:
____________________
Total:
Refundable Security Deposit:
Unit Restoration Fee:
Lease Initiation Fee:
Total Security Deposit:
______________________________________________
.
.
Commencement Date:
End Date:
Commencement Date:
End Date:
Private Room:
Monthly Rent:
Deposit:
Length: 12 Months
Mail to:
A+ Student Suites
1289 S Interstate Dr.
Cedar City, UT 84720
To: A+ Student Suites
Deposit: $
Memo: Deposit for
Date:
Time: