UNIVERSITY OF HAWAI‘I SYSTEM
REGISTRATION PAYMENT FORM
OR
If you would like to use a check to pay for your tuition/fee(s), please complete the form below with the necessary
information. Submit the completed form with your check to one of the campus offices listed below.
Please print clearly.
Student’s Name:
Last
First
Middle
UH Username:
Date:
UH ID Number
__ __ __ __
- __ __ __ __
Phone (Day):
Phone (Evening):
Amount Due: $
Email Address:
Option:
Payment by Check
Semester: Fall
Spring
Summer
Winter
Specify type of check: 529 College Savings Plan Trust Scholarship
Cashier’s Check / Personal Check / Traveller’s Check / Money Order
1.
The check amount must be equal to the total amount due.
2.
Check cannot be postdated (dated for a future date)
3.
Make check payable to: UNIVERSITY OF HAWAI‘I
4.
Attach the check to this form
5.
Write Student’s ID Number on the check
Mail or hand deliver this form to one of the campus offices listed below:
Business Office
Hawai‘i Community College
200 West Kāwili St., Bldg. 397
Hilo, Hawai‘i 96720
Cashier’s Office
Honolulu Community College
874 Dillingham Blvd., Bldg. 6
Honolulu, Hawai‘i 96817
Cashier’s Office
Kapi‘olani Community College
4303 Diamond Head Rd., Ilima 106
Honolulu, Hawai‘i 96816
Business Office
Kaua’i Community College
3-1901 Kaumuali‘i Hwy.
Lihue, Hawai‘i 96766
Cashier’s Office
Leeward Community College
96-045 Ala ‘Ike St.
Pearl City, Hawai‘i 96782
Business Office
University of Hawai‘i Maui College
310 West Ka‘ahumanu Ave., Ho‘okipa 113
Kahului, Hawai‘i 96732
Cashier’s Office
University of Hawai‘i at Hilo
200 W. Kāwili St., Bldg. 354
Hilo, Hawai‘i 96720
Cashier's Office
University of Hawai’i at noa
2600 Campus Rd., QLC 105
Honolulu, Hawai‘i 96822
Cashier’s Office
University of Hawai'i - West O'ahu
91-1001 Farrington Hwy., C-144
Kapolei, Hawai‘i 96707
Cashier’s Office
Windward Community College
45-720 Kea‘ahala Rd., Alaka‘i 114
Kaneohe, Hawai‘i 96744
Outreach College
University of Hawai’i at noa
2440 Campus Rd., Box 447
Honolulu, Hawai‘i 96822
(In person: 2425 Campus Rd.,
Sinclair Library 310)
PAYMENT MUST BE RECEIVED BY THE PUBLISHED PAYMENT DEADLINE DATE.
PAYMENT WILL BE APPLIED TO OUTSTANDING BALANCES FIRST,
EVEN IF THE CHARGE IS FOR A PREVIOUS TERM
11/16
( ____ ) __________________ ( ____ ) ___________________
CLEAR FORM
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