ASTRA USC APPLICATION
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Student's Name *
Cell Number *
E-mail Address *
Date of Birth *
Current Home Address (Home #, Street, City, State, Zip Code) *
Parent's Names *
Year *
Room Preference *
Lease Term *
Would you like parking at $75.00 per month? *
By submitting this form, you agree that the information you have provided is true, complete, and accurate to the best of your knowledge. You also acknowledge that this information is material to the potential Lessor’s decision regarding your application to enter into a lease.
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