Mail: Student Financial Services Fax: 269.471.3228
Andrews University Phone: 269.471.3334
Berrien Springs, MI 49104-0750 www.andrews.edu/SF
Name ________________________________________________ Contact at _____________________________________
Andrews University ID Number ___________________________ Signature ______________________________________
Not returning. Need to register. I will not attend. VISA status has changed. Other _______________________
REFUND INSTRUCTIONS – PICK ONE
Post to my student account –have balance/need to register Refund monies to credit card used on ___________________
Process Refund Check (fill out Option 2) Wire monies (Contact office for wire instructions, fees may apply)
OPTION 2-CHECK:
Myself Other: ___________________________________________
Pick Up Mail to: _________________________________________________________________________________________
Office Use Only
Approved by/date___________________ Registration Central____________ Refund Amount $_______________ Processed/date____________
Paid on ___________________________ Last term enrolled _____________ Number of credits_______________
IN T E R NA T I O N A L DE P O S I T R E L E A S E F ORM
Minimum 5-7 business days to process
