Please fill out all highlighted areas.

Make sure you sign and date the application.

If renting, you must provide a copy of your rental agreement.

Mail back to: Ice's Run PSD

862 Husky Highway, Suite 1, Fairmont, WV 26554 or Fax: 304-363-7024

Email to: downspsd@aol.com or drop-in window slot beside front door.

Pay the deposit in the amount of $122.68

Also include a copy of a photo ID.