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Delta State University - Residence Hall Application This application alone does not reserve your room. A deposit of $50.00 is required (no cash please). PRINT, COMPLETE and RETURN application along with $50.00 deposit
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Document Date: 2006-09-12 10:41:12


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File Size: 28,09 KB

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City

Cleveland / /

Currency

USD / /

Facility

Requested Residence Hall / DO NOT WRITE IN THIS SPACE Room Assignment Building / Campus Phone / Delta State University / /

Organization

U.S. Securities and Exchange Commission / Delta State University / Housing Office / Housing Department / Resident Assistant / Assistant Hall Director / Residence Hall Director / and DSU Police Department / /

Person

Applying Fall (Aug) / Residence Hall / /

ProvinceOrState

Mississippi / /

Technology

cellular telephone / /

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