Residence Hall End-of-Year Billing Appeal Form

RESIDENCE HALL END-OF-YEAR
BILLING APPEAL FORM

Please complete the form below to appeal the residence hall end-of-year billing applied to your student account. Incomplete forms will not be considered. All appeals will be reviewed on an individual basis.

DEADLINE TO SUBMIT: August 1, 2008.

Your First Name:
Your Last Name:
2007-08 Residence Hall:
2007-08 Room #:
Your Full E-Mail Address:
Student Account Billing Address (including city, state, zip)

In the space provided below, please type your rationale for why the charge should be reconsidered.

Questions or problems with this form? Please e-mail orlh@nd.edu.