SORRY, NO PHONE ORDERS
Print out this form and return it to College Services August
15th
PLEASE FURNISH ME WITH A:
Year (
)
Semester (
)
Enclosed is my:
Full payment of: ( )$55/Year ( )$35/Sem
Full payment of: ( )$75/Year (
)$50/Sem
Please
Print Clearly
NAME
OF CARDHOLDER:________________________ AMOUNT
CHARGED:__________
CARDHOLDER
ADDRESS:_____________________________________________________
______________________________________________________
CARDHOLDER SIGNATURE:_________________________________________________
MAIL TO:
CSI ·
(218) 233-5735 · Toll Free 1-866-57LOFTS
OR 1-866-575-6387 · www.csilofts.com