SAVANNAH STATE UNIVERSITY
Box 20419
Savannah, Georgia 31404
OFFICE OF THE BURSAR
TELEPHONE 912 358-4044
FACSIMILE 912 358-3670
REQUEST TO ADJUST/TERMINATE NELNET AGREEMENT FORM
Semester ___________________________________________
Please check one of the following actions:
Terminate _______________
Name
Student ID Number
Contract Number
Original Amount
New Contract Amount
Student Signature
Date
Student Accounts Signature
Nelnet Contact Number (866)315-1263
Adjust __________________