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  Personal Information
First Name
Last Name
Address line 1
Address line 2
City
State
Zip Code
Phone Number
Email Address
Student Name
Student ID Number
  Description Quanity
Application Fee $35.00 example "1"
On Campus Housing Deposit $250.00
Registration Deposit $250.00
Vehicle Registration Fee $50.00
Athletic Fee First Sport $150.00
Additional Sports each $75.00
Dulles Airport Shuttle $75.00
Roanoke Airport Shuttle $35.00

Other Payments such as...
• Travel Study
• Tuition
• Housing

$
  Comments about this payment