Blue House @LECOM, Erie: Application and Room & Parking Preferences
Please use this form to indicate your room and parking preferences.  The rooms and parking spaces will be confirmed on a first-come-first serve basis, via submission of a Hold-Deposit check photo and submission of this form.  Mail $500 Hold-Deposit check to: Allen Shepard, 1904 Umstead Street, Charlotte, NC 28205
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Full Name *
Please enter your first and last name
Email Address *
Please type the email address at which you can be most readily reached for confirmation.
Phone Number *
Please enter the phone number at which you can be reached for confirmation and follow-up.
$599 All-Inclusive Flat Rate East-Face 10' x 10' *
Please rank this room as 1st, 2nd, or 3rd preference
$609 North-Face 12' x 10' *
Please rank this room as 1st, 2nd, or 3rd preference
$619 South-Face 12.5' x 12'
Please rank this room as 1st, 2nd, or 3rd preference
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$30 Select your preferred parking option (first come first serve): *
Protection from snow/sun/theft/damage, convenience, and peace of mind: this brand-new, beautiful garage is an amazing amenity, especially during the winter months but also throughout the year for security and weather ware. This is an add-on available to the first two applicants who designate this option.
By checking this box, *
(Feel free to call or email with any questions: allenjshepard@gmail.com 480-262-8116)
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