Booking Form

* = Compulsory Fields

E-mail (required):*
Your Name: *
Address: *
Country: *
Phone:
Mobile Phone: *
Date of Birth: *	/ /   (DD/MM/YYYY)

Your College:
Course:
Campus:
Your Year of Study	1st Year	2nd Year	Other Year
Your Arrival Date:	/ /   (DD/MM/YYYY)

Please Select

Male       Female

(1 term bookings are accepted from Erasmus and International students only)

College Term Student (Sept to June)

1st Term - September to end December

Spring Term - January to June

Summer Term - June, July & August

Apartment Choice:
JBs Student Residence - Lad Lane Apartments
JBs Student Campus
Other
Please Specify		Off Campus Housing
First Choice:
Second Choice:
Third Choice:

Type of Room Desired:

Single Room

Room Share

Friends: (Please list the name of friends who want to share an apartment.)

How did you hear about us? -- Select -- Social Network site Online advertisement Student Union A Friend Other

Bed Pack : (Bed Packs include Duvet, Duvet Cover, Sheet, Pillow & Pillow case) Price: €30

Yes, I would like to rent a Bed Pack.

No, I do not need a Bed Pack.

Waiting for CAO results?

Yes

No

Comments

Acceptance of the Terms & Conditions *

I agree to the Terms & Conditions outlined. I understand that a single room cannot be guaranteed.

PAY NOW OPTIONS:

1) Select deposit payment:

-- Select -- 250 – Booking Fee 950 – Full year Deposit

Or

2) Enter Amount