Demographic Information
Security Settings
Terms of Agreement
Safe Selection

Personal Information

Parent or Student Email: 
Student First Name: 
Student Last Name: 
Daytime Phone (xxx-xxx-xxxx): - -  
Residence Hall (if known):
Room (if known):

Billing Address

Payer First Name: 
Payer Last Name: 
Address Line 1: 
Address Line 2: 
Postal Code: 

Credit/Debit Card Information

Your credit/debit card will be charged an amount of $95.
(Plus applicable sales tax).
Credit/Debit Card Type:
Credit/Debit Card Number:  
Enter number without dashes or spaces.
Security Code:
Expiration Date: /
Please be advised that once you click [Create Account] below, an email will be generated to the email address above with instructions on how to activate the safe in the students room. Thank you from CSI Safes, LLC., a safe alternative to keeping your possessions safe and secure.