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Street Address Street Address
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City State Zip Code City State Zip Code
Available housing at Oakwood Corporate Housing has four students per two-bedroom apartment; you
must have roommates. (If you do not list roommates by April 23rd, roommates will be randomly assigned.)
Roommates: _____________________________________________________________________________
Housing/Program fee: $2,700.00 (may be paid in three installments: March 26, April 9, and April 23)
(We accept Visa, Discover, MasterCard, Check or Cash. If paying by credit card, there will be an
additional charge of $60)
Payment by check: Make check payable to: SIUC Check #: ___________ Amount: $_____________
Payment by credit card: (If you are paying by credit card, you can pay by phone; call (618) 536-7751.)
Mail or bring form to: Nashville Studies, Jackie Welch, Division of Continuing Education, Washington Square,
Building C, MC 6705, Southern Illinois University, Carbondale, IL 62901
This form must be returned to Continuing Education with your payment of the housing/program fee!