Payment Option Form The three payment options for submitting the $200 housing deposit are cash, check (made payable to Emmanuel College), and credit card. If submitting either cash or a check please include your payment with the Housing Agreement. If you would like to utilize the credit card option, please fill out the information below and return this form with your Housing Agreement. In order to cancel your housing and receive a 50% refund of your housing deposit, you must submit the Housing Cancellation and Refund Request form to the Office of Residence Life and Housing prior to Monday, May 3, 2010. If this form is submitted after May 3, 2010, but before August 30, 2010, you are eligible to cancel your housing agreement, but your $200 Housing Deposit will be forfeited. I authorize Emmanuel College to charge the credit card $200 to be applied as a housing deposit.
The name of the student this payment should be credited to: _______________________ The Emmanuel College ID number of the student is: _____________________________