Graduate Orientation Housing Payment And Reservation Form
August 7th - 15th

Rate: $35 per person per night.

Payment:  Can be made via this form with Credit Card or eCheck, or through the Cashiers using Cash or Check.

If you are paying in cash or check please visit the Cashiering Office prior to check in.  The Cashiering Office is open Monday through Thursday from 9am to 4pm and Friday from 9am to 2pm.  You MUST pay before you check-in.  We do not accept any form of payment including cash or checks at check-in.   

If you have any questions, please contact Debbie Henderson or by phone 209-228-3137.

Graduate Orientation Housing will be located at the Village Terrace apartment complex. You must check in and check out during the management office business hours:

Monday-Friday: 8:30 am - 5:30 pm
Saturday: 10:00 am - 5:00 pm

(Items with * are required.)

Contact Information

Student ID:
Student First Name: *

Student Last Name: *

Student Email: *

Primary Day Telephone Number/Cell *

Primary Evening Telephone Number/Cell

Name & Relationship to UC Merced Student for each attendee: *

Emergency Contact Name *

Emergency Phone Number *

Reservation Details

Total number of occupants for this reservation: (include student): *

Disability accommodation required *

Special Needs Notes
Arrival Date: *

Check-In Time (Approx.): *

Departure Date: *

Check-out Time (Approx) *

I acknowledge that check in and check out are limited to the hours listed above without exception. *

Please enter amount: *

You are now forwarded to checkout.

(Items with * are required.)

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