COMMUTER 75 MEAL PLAN FORM

APPLY TO STUDENT ACCOUNT ONLY


Last:

First:

PlaidPass:

Email:

Payment:

Fall Semester:Add to Student Account (Before June 1)

Spring Semester: Add to Student Account (Before Nov. 30)

I understand by submitting this form:

My PlaidPass will be activated for the Commuter 75 meal plan;
The $550.00 cost of the plan will be charged to my student account;
The $550.00 cost of the plan is non-refundable;
Membership in the plan is non-transferable.