EmailMe Form - Housing Cancellation Form

Name *

First Last

Student ID Number *

Birthdate *

MM / DD / YYYY

ABAC email *

Date *

MM / DD / YYYY

Reason for Cancellation *

Transfer Institution *

Other (Please Describe) *

I understand that by cancelling my housing I will incur one of the following cancellation charges. *

I Understand

*Prior to the spring ABAC graduation - forfeit application/renewal fee

**Between the spring ABAC graduation and the last day of June - forfeit application/renewal fee and $250 cancellation charge

***On or after the the first business day of July - forfeit application/renewal fee and $500 cancellation charge