Coldex

Prior to a deposit being refunded, the following form must be submitted to ensure we have your current information. Only submit
after your rental has been returned!

Deposit Request form

First and Last Name:

E-Mail

School

Residence

Room No.

Please return my deposit by mail, with
a cheque, to by Canadian home address.

Home Address

Street Address

Town, Province

Postal Code:

Home Phone:

Please credit my deposit to my Visa
or Master Card.

Credit Card

Visa Master Card

Card Number

- - - *

Expiry Date

Comments (optional)

DEPOSITS ARE RETURNED 6-8 weeks after pick up, and receipt of this "Deposit Request Form"