Jardine apartment

Fields marked with an * are required.

Guest name*

Additional guest name

Institution*

Institution location*

K-State host name*

K-State host department

K-State host department phone number*

Length of stay	Description of fees
2-6 nights	$100 minimum for 2 nights or $50/room/night x 2-7 nights; or $250 whichever is less
7-29 nights	$250 minimum for 7 nights or $35.71/room/night x 8-29 nights; or $1,000, whichever is less
1-6 months	$1,000 minimum for 30 nights or $33.33/room/night x 31-180 nights

Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4

Reservation is confirmed upon receipt of e-mail confirmation from the Provost's Office

Date of arrival*

Date of departure*

Purpose of visit*

Changes in confirmed reservations must be made one week prior to the scheduled date of arrival to avoid being charged the full amount.

The host department will be invoiced at the time of check-in and damages will be invoiced at the time of check-out.

Name of payment contact*

Street address*

City*

State*

Zip/Postal code*

Phone number*

Fax number

Email address*

Kansas State University