JMU CARD SERVICES OFF-CAMPUS APPLICATION
Send application to:
Card Services, 738 South Mason Street, MSC 3532, Harrisonburg, VA 22807
Or Fax completed form to (540) 568-1749
Student ID Number
Last Name First Name M.I.
For Office Use Only
________________________________________
Location Date Student Acct Code
I agree to the terms and conditions as stated on the web page. I understand that any changes in meal plan must be made September 7, 2020 through September 18, 2020. There will be a $15 service charge on meal plan changes.
Signature/Relationship - If other than student (signature required)
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Declining Balance Accounts:
Please indicate deposit amount
FLEX
Dining Dollars Gold
Flex and Dining Dollars Gold cannot be billed with tuition.
METHOD OF PAYMENT:
Personal check [make payable to James Madison University]
VISA MasterCard Discover Other
Bill with Tuition [Meal Plan Only]
OFF CAMPUS MEAL PLAN OPTIONS
Meal Plan Code
Meal Plan Amt
Billing Address (this is required for your application to be processed)
CREDIT CARD NUMBER: Expiration Date: CID Number
Total Amount Enclosed
Signature of Credit Card Holder
Meal Plan can be billed with tuition
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