Text Box: Please complete and return to the address above.  We will confirm your reservation by email, letter, and/or by phone, and indicate charges, assignments, etc.  PLEASE TYPE OR PRINT.   NAME: ______________________________________________________________________________________________________________                                (FIRST)                                                                   (MIDDLE)                                               (LAST)   SOCIAL SECURITY NUMBER: ________/______/__________            TELEPHONE:____/_________  ADDRESS: ___________________________________________________________________________                                     (STREET)                                               (CITY)                                    (STATE)                        (ZIP)   EMAIL ADDRESS _____________________________________________   Dates Housing Requested:  FROM _______________________    TO ________________________                                                                   (CHECK-IN DATE)                                                      (CHECK-OUT DATE)   Estimated time of arrival  (must be before 11:00 pm) ____________________________________ ______________________________________________________________________________________   SUMMER 2007—(Buildings, room assignments, and cost subject to change without notice)   DAVIS APARTMENT:   $14.32 PER PERSON, PER NIGHT.  Private rooms will be given on a first-come, first-served basis $28.64 PER NIGHT.    No linen provided.  You will need to bring your own, twin size sheets, pillow cases, pillows, towels, wash cloths, etc. No pots and pans, dishes, or utensils will be provided. No pets are allowed.   BUC RIDGE. $16.60 PER PERSON, PER NIGHT. Each apartment will have 2 bedrooms with 2 baths, kitchen area, living room, laundry room with washer/dryer.        No linen provided.  You will need to bring your own, twin size sheets, pillow cases, pillows, towels, wash cloths, etc. No pots and pans, dishes, or utensils will be provided. No pets are allowed.   Payment can be made on your Goldlink account (a memo will be sent to the Comptroller’s Office.) Payment is expected prior to your arrival or on the first business day of your stay. Credit Card payments will have to be made in the Comptroller’s Office on the first business day of your stay.   **************************************************************************** FOR OFFICE USE ONLY, PLEASE DO NOT WRITE BELOW THIS LINE.  THANK YOU.   ROOM _______________                               PHONE _______________       ROOMMATE _______________________________________         DATE IN ________________     DATE OUT _________________     TOTAL NUMBER NIGHTS _______     PAID ____                                   SUMMER 2007 APPLICATION.       Text Box: DEPARTMENT OF HOUSING AND RESIDENCE LIFE PO BOX 70723 JOHNSON CITY  TN  37614-1710 TELEPHONE  423/439-4446                EMAIL: Kathy@etsu.edu FAX                 423/439-4690   Text Box: PLEASE CHECK WHICH GROUP YOU ARE WITH:   STORYTELLING