Security Deposit Student One-Time Credit Card Authorization Form

Name

First NameLast Name

Email Address

Your best email for AST to communicate with you.

Room Number

If you already know your room number

SHORT & LONG-TERM STAYS RATES AND OTHER MANDATORY FEES _ Rent is due on the first of every month. Your security deposit is fully refundable upon move-out, provided the room or apartment is returned in its original condition and all loan items are returned.

Monthly Rate - AST Summer Distance Program

6-week term. (This fee will cover stays for AST Students only, who will be in residence from June 13 – July 25 in either a large or standard single room.) Any additional nights will be billed at $51/night. There will be no credit for shortened stays. Students who are attending only one or two summer intensive courses will be billed at the usual short term stay rate.

$1,500.00 CAD Quantity

On Campus Parking Pass

AST Summer Distance Program 6-week term parking pass (mid-June to late July)

$141.00 CAD Quantity

Single Large Room - 1st and 2nd floors (monthly rate)

$980.00 CAD Quantity

Single Room - 1st and 2nd floors (monthly rate)

$930.00 CAD Quantity

Single Room - 3rd floor (attic style) (monthly rate)

$842.00 CAD Quantity

Single Room with private washroom (monthly rate)

$1,120.00 CAD Quantity

One-Bedroom Apartment (monthly rate)

$1,341.00 CAD Quantity

Two-Bedroom Apartment (monthly rate)

$1,755.00 CAD Quantity

Single Large Room - 1st and 2nd floor

Short term - nightly rate

$51.00 CAD Quantity

Single Room – 3rd floor

Short term - nightly rate

$46.00 CAD Quantity

Single room with private washroom

Short term - nightly rate

$82.00 CAD Quantity

One-bedroom apartment

Short term - nightly rate

$92.00 CAD Quantity

Two-bedroom apartment

Short term - nightly rate

$128.00 CAD Quantity

On-Campus Parking Fee (Residents Only)

January-April, May-August, September-December. The quantity is based on how many terms you need the parking spot.

$223.00 CAD Quantity

Residence Fee

On campus social activities throughout the year.

$60.00 CAD Quantity

Single - Double Room

Single room converted into a double room, two single beds. For double occupancy, the standard room rate plus an additional of $200/month for usage of extra water and electricity is split equally between both residents. For example, a standard room ($980 + 200) would be $590 per person. Email residence@astheology.ns.ca with the type of room you'd like to occupy as a double.

Free Quantity

Total

AST Security Deposit (Before moving in, residents are required to pay (1) a "Security Deposit", one month of rent, and (2) a "Residence Activity Fee").
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

By completing and submitting this form, you understand that you're required to pay the security deposit and residence activity fee before moving in. Your security deposit can only be returned via credit card.

It's your responsibility to update us with your credit card information. By providing your credit card details below, you accept that your credit card will now be charged.

Following move-in, rent is collected on the first of every month. Your security deposit is fully refundable upon move-out, provided the room or apartment and AST lending items are returned in their original condition. Residence room rental fee is non-refundable and is not prorated. Once charged to your account, these fees apply for the full term of this agreement, and no credit or partial refunds will be issued for early move-out, non-use, or cancellation.

Please upload a screenshot of the front of your credit card only. Rest assured, your image is securely processed and will only be used for residence purposes during your stay.

Notes

Signature

Signature Details

Security Deposit Student One-Time Credit Card Authorization Form

______ SHORT & LONG-TERM STAYS RATES AND OTHER MANDATORY FEES _______ Rent is due on the first of every month. Your security deposit is fully refundable upon move-out, provided the room or apartment is returned in its original condition and all loan items are returned. *

SHORT & LONG-TERM STAYS RATES AND OTHER MANDATORY FEES _ Rent is due on the first of every month. Your security deposit is fully refundable upon move-out, provided the room or apartment is returned in its original condition and all loan items are returned.