ED Resident Rent Payment

First name (Required)
Last name (Required)
How much are you paying (Required)
What are you paying for?
Please describe your payment, are you using edx? paying for extra food? etc…
How much EdX would you like to use? (Required)
Your balance is %edx_balance% EdX
Total $
0.00
Total Cash $
0.00
EdX used:
0.00
Min Price Lodge
Max Price Lodge
Min Price Drop In Day
Max Price Drop In Day
Suggested Price Lodge
$
0.00
Min Price Camp
Max Price Camp
Ticket Types
Suggested Price Camp
$
0.00
Min Price Commute
Max Price commute
Suggested Price Commute
$
0.00
equity and access discount
equity and access price

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