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FEE PRICING REQUESTS - Specific to Program, Special ID, or Other than Standard University Wide Fees

ALL required sections of this form MUST be completed in order for your request to be processed. Please contact Ricardo Moran at (305) 284-6797 or via e-mail at pricing.osas@miami.edu should you have any questions.

Please review our privacy statement relating to information we collect, choice/opt-out, and correction/updating of personal information before proceeding.

Required questions are marked with an (*).
* Fee must be specific to either a Major Code or Special Identifier, please chose one: Help (You must select one)
 
Major Code
Special Identifier
 
* Select the term for your tuition pricing request: Help (Select only one)
 
 
* Type in the 5-digit activity code for the fee you are requesting to price: Help (You must type in a response)
  Once you have obtained the activity code for this fee, please make a note of it for future reference.
 
 
* Fee is mandatory when student is enrolled in (credit range): Help (You must type in a response)
  (ex. 1-11 or NEVER or ALWAYS)
 
 
* Fee is optional when student is enrolled in (credit range): Help (You must type in a response)
  (ex. 0-10 or ALWAYS)
 
 
COMMENTS Help (Type in a response)
 
 
* AUTHORIZATION REQUIRED -------------------- Please provide your department name: (You must type in a response)
 
 
* Department Head Name Help (You must type in a response)
 
 
* Department Head Phone Number (You must type in a response)
  (ex. 305-284-1234)
 
 
Department Head E-mail Address (Type in a response)
  (ex. csmith@miami.edu)
 
 
* Please provide your Name: (You must type in a response)
 
 
* Please provide your Phone Number: (You must type in a response)
  (ex. 305-284-1234)
 
 
* Please provide your Email Address: (You must enter a valid email address)
  This is the email where you will receive a confirmation.
 
 
Additional Documentation (Select a file to attach)
  Attach any additional documentation that may be needed to fulfill your request.
 
 
********Please review ALL sections before submitting your request.********