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Undergraduate Summer 2009 Housing Cancellation Form

Please submit this form if you are cancelling your Summer on-campus housing.

You must be in an M.I.T. undergraduate student residence hall to submit this form.

Please fill out all the information completely and accurately. You will automatically receive a copy of the information that is being submitted here. Fill out this form only if you will be cancelling your Summer 2009 housing assignment!!

Summer 2009 cancellation deadline is May 12th, 2009.

Cancellations received on or after May 13th will be subject to a CANCELLATION FEE of $200.00 .

Applicant Information

First:

M.I.:

Last:

MIT ID No.:

Email:

Gender:

What year are you?

Semester cancelling?

Assignment cancelling?

 

Reason for cancellation:

If reason is other than the selections above, please explain in the field below:


Please review this form for correctnes, then this form as an email. A copy of your cancellation will be sent to your e-mail address. Or, click this button to erase your entries and start over.

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