Summer Munch Money Meal Plan Enrollment Form

 SUMMER 2017 MUNCH MONEY ENROLLMENT/DEPOSIT FORM Requests must be received no later than 9am Friday to be in effect for the following Sunday
Emailed forms must be sent from LJŽƵr albany.edu email or the request will not be processed NAME: _____________________________________
STUDENT ID#: ________________________________
Initial Deposit (minimum $)
DATE: ___________BB______
AMOUNT TO DEPOSIT: $__________
Add on Deposit (minimum $ for Student Account or minimum $10 in office)
$$$ Deposits of $100 or more receive a 5% bonus applied 24 hours after the deposit is made $$$
METHOD OF PAYMENT:
Cash
Check #_______
UAlbany Student Account (minimum $50 per deposit)
Discover
American Express
Master Card
Visa
Last 4 digits_________
MUNCH MONEY & MEAL PLAN POLICIES
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Munch Money can only be used to make purchases for yourself at on-campus dining venues and vending machines
Munch Money purchases are tax free and balances are non-refundable as per NYS tax laws
Even if a student arrives late or withdraws early during summer sessions Munch Money is non-refundable
Any balance of unspent Summer Munch Money will be “rolled over” into Munch Money available for the academic year
and will not be forfeit until end of enrollment or spring commencement, whichever comes first.
Balances cannot be transferred to other people or accounts (e.g. Podium)
PROTECTING YOUR ID CARD and MEAL PLAN FUNDS
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You are financially responsible for any fraudulent use of your Munch Money account, so keep your card secure
If your card is lost or stolen, immediately deactivate via UAlbanyID.com. Once disabled, the card cannot be used for
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purchases. If found, you can reactivate it online via UAlbanyID.com.
You must purchase a new ID card. Please visit Campus Center B-52, Monday – Friday 8am – 4pm.
A temporary card may be obtained at your Quad Office or UPD when the ID Card Office is closed
If you allow someone else to use your card it will be confiscated and destroyed; you will have to purchase a new card
TERMS & CONDITIONS
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I understand that this request takes precedence over any previous meal plan selection I have made.
I understand that if I have selected a meal plan for which I am not eligible, I will be notified by a campus administrator
and required to pick an eligible plan.
I understand that Munch Money is non-refundable and non-transferrable and will be forfeit when I withdraw or after
spring commencement; whichever comes first
I have read and understand the Summer Meal Plan FAQ - copy available in the ID Card Office and at
ualbanydining.com
I understand that if I am charging to my student account, University at Albany Student Financial Services may use my Title IV
(financial aid) funds, if I am entitled to any, to pay this charge, and I agree to pay the above amount within thirty (30) days of the
student account billing date, even if I withdraw from the University at Albany.
I understand that if payment is not made within thirty (30) days of the student account billing date, my academic records will be
placed on hold, and late fee charges will be applied and may result in future collection activity.
By signing this document, or by emailing this document from your official albany.edu email account, you are
agreeing to the terms and conditions set forth above, and authorizing the payment as described.
SIGNATURE: _______________________________________ DATE:_______________________
type name here for signature
REQUEST PROCESSED BY: ________________________________ DATE:__________________________
updated 4/14/17