Mailbox Slip

Mailbox Slip
FOR HOUSING TO FILL OUT
W Number*
Student Name*

First NameLast Name
Student Email*
Must Be Your School Email
Phone Number*
Please enter a valid phone number.
Housing Approval*
Please Enter Your Name
RA/HD Unique Identifier*
4 Digit Code
FOR MAIL ROOM TO FILL OUT
Box Number
Date Issued

MonthDayYear
Date
Issued Student Signature

Clear
Your mailbox key has been assigned to you ONLY. Please do not trade, exchange, or transfer your key with other students. You are solely responsible for your key. In the event you plan to be absent from campus for one term or more, you must return your key to the Mailroom Supervisor or Purchasing Department. A $30 key fee will be assessed for any mailbox key lost or not returned. By signing above, you agree you understand this process and responsibility.
Permanent Forwarding Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Notes/ Comments:
Date Returned

MonthDayYear
Date
Returned Student Signature

Clear
Key Number
Should be Empty:

FOR HOUSING TO FILL OUT