UNIVERSITY of PENNSYLVANIA

Make check payable to: University of Pennsylvania

Student Soc. Sec. No.

Amount Paid

Term

Last Name, First Name

197

To insure that your payment is properly credited to your account, please do the following:

1. Print this page.
2. Detach the top portion of the page along the dotted line and include it with your payment.
3. PRINT the following in the boxes provided:
   • Your name, your social security number and amount you are paying. All payments will be posted to the current term.
4. Make check payable to:University of Pennsylvania. Write your social security number on your check. Do not send cash.
5. To pay by mail, enclose the top portion with your payment and mail to:

   University of Pennsylvania
   P.O. Box 41791
   Philadelphia, PA 19162-0034
   

6. To pay in person, bring the top portion with your payment to the University Cashier at:

   110 Franklin Building
   3451 Walnut Street
   Philadelphia, PA 19104
   

Comments to:
Office of Student Financial Services
100 Franklin Building
Philadelphia, PA 19104-6270
Phone: (215) 898-1988
SFSMail@SFS.UPenn.Edu

Document: 0105