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Name
First
MI
Last
 *  
   
 *
Phone number
 *

Email address
 *
Gender
*
Date of birth
 
How did you hear about us?
 
 *
Semester needed
 *
Move In Date Date Help
Please select an end date
 *
Floor plan type
Floor plan  *
What Leasing Consultant
are you working with?
(may not apply)
 *
 
Select your graduation year. *
What school do you attend, if any? *
If Other selected, please enter name of school. 
List your requested roommates, if known. 
List the person or organization that referred you, if any. 
Do you have a pet and if so what type?

*
Building Floor Preference
*
Bedroom Preference

*
 
Student #
 
User Name  *
Password  * Help

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If you need help, give us a call at (956) 287-2554

Or send us an email at
veranda@peakcampus.com
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