Please fill out all the required fields below. Once you complete the required information, you will be redirected to a page on which you may enter in your credit card information.
Should you have any questions about the form, please contact us at: email@example.com
* Fields marked with an asterisk (*) are required.
New York University is committed to respecting your privacy. You can be assured that personal information will only be used by New York University to conduct official University business and personal information will never be disseminated to any unaffiliated third party.
NYU Kimmel Center for University Life
60 Washington Square South
New York, NY 10012
Tel: (212) 998-4900
Fax: (212) 995-4094