Campus Card Account Refund Application

Name*

First Last

Student/Staff Number*

杏吧原创 Email*

Account(s) to Refund*

Please select all that apply. Block 100 and Block 200 Plans are non-refundable.

Meal Plan Refund

Administrative Fees*

This fee is in ADDITION to the cheque fee if you select that option (below).

I understand that a $25 administrative fee AND all discounts received while using my meal plan will be subtracted from my final refund.

Refund Options*

Cheque Fee*

I understand that a $25 cheque fee will be subtracted from my final refund. *This is in addition to the administrative fee for meal plan refunds.*
I am an alum or reitree (cheque fee is waived).

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Address Check*

I understand that the above address MUST match my address listed in 杏吧原创 Central. Any errors will delay my refund.