Refund Request Form - Lancaster Bible College printable pdf download

Refund Request Form - Lancaster Bible College

Refund Request Form

Solution Center | 717.560.8254

Undergraduate and Seminary/Graduate

Student Name: _____________________________________

I understand the following:

Last 4 digits of SS#: ________________________________

1. I (or my parents) will not receive this check until all

Payable to:

 Same as above

financial aid has been posted to my account

 Other: ___________________________

(“pending” aid is not yet on my account);

Amount Requested:

 Full balance

2. Aid may take up to 4-6 weeks to be applied to my

 Partial refund: $ ______________

account after the start of the term; therefore, my

refund may not be available for 4-6 weeks after the

Please send the check to: (select one)

term begins;

 My LBC Stop # _______

3. *Checks are issued ONCE a week, on Thursday,

 I will pick up check at Solution Center (*3)

after 2 pm; if my account meets the above criteria

after the deadline for check requests, my check will

Phone: (____) ___________________

be issued the following week; and

 Mail to address below:

4. If additional charges are applied to my account

Street: ______________________________________

following my refund (i.e. bookstore charges), I will

be responsible for said charges to be paid within two

City: ________________________________________

weeks.

State: ____________ Zip: ______________________

________________________ _______________

Student Signature

Date

Return to LBC Solution Center

Electronic: solutions@lbc.edu or

717.560.8213

FAX

Mail: Lancaster Bible College, 901 Eden Rd, Lancaster, PA 17601

LBC USE ONLY: Approved by __________________

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Refund Request Form - Lancaster Bible College

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