Change Machine Refund Request

I agree to receive my refund by: (Required) Credit to my Titan Dollars and be notified by email when the refund is issued
Making arrangements with the Residence Life Support Office upon receiving the email notification. After 30 days, money will be forfeited.

Residence Hall (Required) Breese Hall
Clemans Hall
Donner Hall
Evans Hall
Fletcher Hall
Nelson Hall
Scott Hall, North
Scott Hall, South
Stewart Community
Taylor Hall, North
Taylor Hall, South
Webster Hall
Gruenhagen Conference Center

Dollar Bill Amount (Required) $1.00
$5.00