Deposit: Commit Today! Submit Letter of Intent to Eureka College

Deposit

Save your spot at Eureka College

Please use this form to save your spot at Eureka College. Submission of this form on or before the date indicated guarantees placement for the semester requested on your application.

Basic Information

First Name*

Last Name*

Email Address*

Phone Number

Address*

Address Line 2

City*

State*

Zip Code*

Country*

Deposit Information

New Student Deposit*

Housing Deposit*

Housing Deposits are required for students planning to live in on-campus housing. Completing your housing deposit now will increase your priority for housing option

Total

$ 0.00

Name on Card*

Credit Card Number (No Dashes)*

Expiration Date*

Security Code*

Signature*

By checking this box and signing this form, I certify that the above information is true and correct to the best of my knowledge.*

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Basic Information

Deposit Information