Transfer of Funds
We agree to the transfer amount below and additional service charge that applies:
Name of Student Transfering Funds
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Name of Student to Receive Funds
*
First Name
Last Name
Amount Requesting to Transfer:
*
Additional Transfer Service Charges apply: (Select one)
*
$0-$500 transferred amount is $15.00 Service Charge
$501-$1000 transferred amount is $25 Service Charge
$1001 and over transferred amount is $35 Service Charge
Total Amount to be deducted from Student account: (Transfer amount and service fee)
*
Today's Date
*
-
Month
-
Day
Year
Date Picker Icon
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