Medium

Available on

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Microfridge Reservation Request Form Mobile App

Complete and submit the Microfridge Reservation Request Form mobile app to request a University Micro fridge (MCF). Completion of this form authorizes Residence Life to place a charge in the amount to the student’s account once the MCF unit is delivered.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Microfridge Reservation Request Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico integer

    ACADEMIC YEAR

  • Ico date

    DUE BY

  • Ico statictext

    Instruction: Complete and submit this request form to request a University Micro fridge (MCF).

  • Ico statictext

    DO NOT SEND ANY FORM OF PAYMENT: YOUR STUDENT ACCOUNT WILL BE BILLED AFTER THE UNIT IS DELIVERED!

  • Ico textbox

    ID#

  • Ico multiline

    PERMANENT ADDRESS

  • Ico textbox

    PERMANENT PHONE

  • Ico textbox

    CELL PHONE

  • Ico textbox

    EMAIL ADDRESS

  • Ico textbox

    RESIDENCE HALL ASSIGNMENT

  • Ico statictext

    Responsibilities: I understand that I will be responsible for returning the MCF unit clean and in...

  • Ico statictext

    Cancellation: Any working MCF returned after being delivered will result in a daily usage charge.

  • Ico signature

    I UNDERSTAND THAT THIS IS ONLY A REQUEST AND DOES NOT GUARANTEE THAT I WILL BE PROVIDED WITH A MI...

  • Ico date

    Date

  • ...and More!

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