Dining Plan Cancellation 2012-2013

Rensselaer Auxiliary Services

Please use this form to cancel your dining plan for the 2012-2013 academic year.

Students may cancel their dining plans only if their requests are received by 5:00pm on August 27, 2012. Cancellations are not permitted after this date.

Please note that freshmen and sophomores CANNOT cancel their dining plans.

* Date:
* Class year:	Please select: 2016 2015 2014 2013 Graduate
* Name:
* Rensselaer ID Number (RIN):
* Local address:
* Phone number:
* E-mail address:
* Please cancel my: (select one)	Please select: 23 on-demand meal plan 19 on-demand meal plan 15 on-demand meal plan 10 on-demand meal plan Block meal plan
Please enter the reason you wish to cancel your current dining plan: