ORDER FORM. SUMMER 2010
Summer deliveries are made Monday -Thursday in the evenings ( usually between 7:00-9:30 PM) . Once we have received and processed your order, we will confirm your delivery date to the email address that you provide below.
| First Name, MI* | |
| Last Name* | |
| Dorm & Room #* | |
| HOME (notAU) Address* | |
| City & State (HOME-not AU)* | |
| Arrival Date* | |
| Departure Date* | |
| Zip/Postal Code (HOME-notAU)* | |
| Contact Phone* | |
| Contact email address * |
2) PLEASE CHECK THE ITEMS YOU WISH TO RENT
| DESCRIPTION | ||
| MICROFRIDGE..............................$87.00 | ||
| 3.0 Cu.FT. FRIDGE-FREEZER.........$74.00 | ||
| 20" COLOR TELEVISION...............$65.00 | ||
| * | REFUNDABLE DEPOSIT (REQUIRED).........................$10.00 |
*Price does not include 5.75% DC sales tax
PLEASE TELL US HOW YOU ORIGINALLY HEARD ABOUT OUR COMPANY
A POSTER/FLYER LOCATED IN MY DORM
THE UNIVERSITY WEBSITE
INFORMATION DISTRIBUTED BY SCHOOL OFFICIALS AT ORIENTATION
OTHER STUDENTS
PREVIOUS CUSTOMER
3) PLEASE SELECT YOUR METHOD OF PAYMENT
PLEASE CHARGE THIS TO MY CREDIT CARD. . PRESS THE SUBMIT BUTTON TO ORDER ELECTRONICALLY OR PRINT AND MAIL THIS FORM TO CAMPUS RENTALS, 502 E FRANKLIN AVE., SILVER SPRING, MD 20901
VISA OR MASTERCARD
| CREDIT CARD NUMBER | |
| EXPIRATION DATE |
 |
ONCE WE PROCESS YOUR ORDER, WE WILL SEND A CONFIRMATION (USUALLY WITHIN 24 HOURS) TO THE EMAIL ADDRESS YOU HAVE GIVEN WITH YOUR SPECIFIC DELIVERY INFORMATION.
4) I HAVE READ AND AGREE TO THE TERMS OF THE RENTAL AGREEMENT STATED HEREIN. (CHECK BOX)
IF YOU DO NOT AGREE TO THE RENTAL TERMS YOUR ORDER WILL NOT BE PROCESSED.
HAVE QUESTIONS ?.....CONTACT US: