2020 - 2021 Rensselaer Student Dining Plan Cancellation Form

Rensselaer Auxiliary Services

Dining Plan Cancellation 2020 - 2021

Please use this form to cancel your dining plan for the 2020 - 2021 fall and spring semesters.

Students may cancel their dining plans only if their requests are received within ten business days of the effective semester dining plan start date.  Cancellations will not be accepted after this date unless you are leaving Rensselaer.

Also please note that freshmen and sophomores CANNOT cancel their dining plans.

Indicates required field
Date:
Class year (select one):
First name:
Last name:
Rensselaer ID number (RIN):
E-mail address:
Campus / local address:
Room / apartment #:
Phone number:
Please indicate the appropriate semester:
Please cancel my: (select one)
Please enter the reason you wish to cancel your current dining plan:
Electronic signature (PLEASE PRINT FULL NAME)
By entering my name below, I acknowledge that I wish to cancel my Rensselaer meal plan.
Leave this field blank
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