Application for the Tuition Refund Plan

Payment due before student commences classes.

The cost covers Tuition and Mandatory Fees, plus Room and Board if applicable and is set forth below:

____   $259.00    Campus Resident- includes both Fall 1998 and Spring 1999 terms.

____   $198.00    Off-Campus-  includes both Fall 1998 and Spring 1999 terms.

Off-campus room, meals, or fraternity/sorority charges cannot be insured.
                        Please write name of college on check.

PLEASE PRINT ALL INFORMATION CLEARLY:

___________________20_____

Enclosed is my check for $_________________________________to the order of A.W.G. DEWAR, INC., for which please include:

Name of Student____________________________________________________
                    Class:     __ Freshman   __Sophomore   __Junior    __Senior

Name of College____________________________________________________
Parent____________________________________________________________
Address__________________________________________________________
            __________________________________________________________
 Payment due before student commences classes.
                 Confirmation will be forwarded upon receipt of your check.