UB ePay

1. Personal Information
(Please complete the following information)

Student First Name:	* M.I.:

Student Last Name:	* Suffix (Jr, etc.):

Student Person Number:	*

Student Gender:	*

Student Birthdate:
(use 4-digit year)	* Month: Day: Year:

Phone Number:	*

Your E-Mail:	* (for e-mail receipt)

Apply to Semester:	*

Program Name - Location:	*

* - Required

(Please verify that this is the correct payment item.)

UB Study Abroad Summer/Winter Programs Deposit ($325.00)

Site for payment of program deposits for UB's summer or winter session study abroad and student exchange programs.

PARTICIPANTS IN SEMESTER PROGRAMS SHOULD PAY THEIR DEPOSIT AT THE STUDY ABROAD SEMESTER PROGRAM DEPOSIT SITE

PARTICIPANTS IN SHORT-TERM NON-CREDIT ROTATIONS SHOULD PAY THEIR DEPOSIT AT THE SHORT-TERM ROTATION DEPOSIT SITE

I verify that I have received an offer of admission to a Summer or Winter Session UB Study Abroad or Exchange Program from UB's Office of Study Abroad Programs. Through payment of this program deposit, I hereby confirm my intent to participate in the listed program. I understand that if I withdraw from this study abroad program, this deposit will not be refunded. I also understand that my participation in the Program is contingent upon my acceptance of the terms and conditions of participation, as they are described in the Study Abroad Program acceptance package.

Credit Cards / eChecks Accepted

UB currently accepts eChecks, Visa, MasterCard, AmericanExpress and Discover.

Debit Cards with Visa or MasterCard logos are accepted.

Daily limits on these cards vary, please contact your bank.

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