Please complete this form if you plan to be on campus after Sunday, January 14, 201. There will be a $120/week charge to stay on campus after the 14th. Full payment is due on January 15, 2018 or by the time you check out with Residence Life, whichever comes first. Payment is made in the Business Office, located on the second floor of Murphy Center. Questions? Please feel free to contact us at email@example.com.