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Please take the time to fill out the information below and we will be happy to give you a quote.

University	**
Chapter	**
Name	**
Position in Chapter	**
Email	****
Phone Number	**
Number of Members	**
How many of these members live in the house?	**
How much are Dues per semester?	**
How much is Rent per semester?	**
How much are Meals per semester?	**
Any other fees?	**
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