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Refund Request

Students with balances in their accounts can use this form to request their refund check. Checks can be held for pick-up, or sent to either the students' permanent address.

Name:
Date of Birth:	(mm/dd/yyyy)
Student ID Number:
E-mail:
Amount requested:	Entire Balance Other Amount:
Send check to:	my permanent address hold for pick-up at the Accounting Office

Maintained by webmaster@wpi.edu
Last modified: Mar 30, 2009, 14:45 EDT

Accounting and Treasury Office - Worcester Polytechnic Institute - 100 Institute Road, Worcester, MA 01609-2280
Phone: +1-508-831-5203 - Fax: +1-508-831-5064 - bursar@wpi.edu