HBBC

Refrigerator Rental Agreement

Refrigerator Rental Cost: $90 per semester

Please pay by card when you complete this form.

After the payment is made, the Dean of Students Office will receive your agreement by email. Your request will be processed as soon as possible.

If you need a refrigerator for medical purposes, please see the Dean of Students' Office.

Responsible Party *

Last Name *

Responsible Party's Email Address *

Residence Hall *

Room # *

Roommates that will be sharing the refrigerator:

Agreement

I, the responsible party listed above, agree that the refrigerator in my room will be entirely my responsibility. At the end of the semester, I understand that the refrigerator must be cleaned and ready for removal from the room or a new rental agreement filled out and payment made. I will not hold Heartland Baptist Bible College liable for any damages or charges as a result of this service.

*

Please check this box to show that you agree to the terms above.