Wright State University
Guest Housing Pre-Registration
City, State, Zip
Country (if applicable)
Home Telephone # Cell Telephone #
Vehicle Make Model Plate #/State
Are there any additional people planning to stay with you?
# of Adults
# of Children
Names of Adults
Names of Children
Ages of Children
Campus Contact Person
Contact Phone #
Verification: (For office use only)
Are you responsible for the housing payment?
If no, who is responsible for the housing payment?
Please indicate the dates that you require housing (Office hours are 8:30am - 5:00pm M-F ONLY)
Check-In Date Anticipated Time of Arrival
Check-Out Date Anticipated Time of Departure
Rates may be subject to change. Call ahead of rate updates.
*Weekly/monthly rates include: local phone service, basic cable TV service, utilities, parking pass, an internet account (must provide ID) and a basic
linen set. Extra towels and linen are located in the unit.
Weekly Rate (7-night stay)
Single Occupancy Apartment - $350 per person per week
Double Occupancy Apartment - $220 per person per week
Quad Occupancy Apartment - $150 per person per week
Any other comments/requests?
GUESTS ARE RESPONSIBLE FOR ANY REPAIR OR CLEANING CHARGES UPON CHECKING IN.
(For university use only)