Advanced English Program at SUNY Plattsburgh

Sunday, June 30 - Friday, August 9, 2013

Link to Printable PDF Registration Form

* First/Given Name

* Last/Family Name

* Banner Identification Number: 70

* Email Address

Program Fees:

Deadline for Full Payment is Friday, May 31, 2013

Full payment of the PROGRAM ENROLLMENT FEES is required to complete the registration
process:

Tuition & Fees $2,700.
On-campus Housing $ 650.

Cardinal Cash                          $   360.
Health Insurance*                    $   240.
TOTAL BILLED COST               $3,950.

* If you already have health insurance, please contact the Global Education Office.

Credit Card Payment:

Name on Card

Credit Card Type

Credit Card Number

Card Verification #

Expiration Date (mm/yy)

Pay By Check:

Check Enclosed

Please make check payable to College Auxiliary Services (CAS) and mail with this form to the
following address:

CAS, SUNY Plattsburgh
101 Broad St.
Plattsburgh, NY 12901 USA

If you require bank transfer information, contact kate.chilton@plattsburgh.edu

Comments

Program Confirmation:

Confirmation and receipt of program enrollment and payment will be emailed to the email address given above.

Questions:

For questions regarding payment: Please contact CAS at SUNY Plattsburgh:
• Phone: (518) 564-3054 • Fax: (518) 564-4092 • Email: kate.chilton@plattsburgh.edu

For all other questions, please contact the Global Education Office:
• Phone: (518) 564-3287 • Fax: (518) 564-3292 • email: geo@plattsburgh.edu
Thank you!

* Indicates Response Required