Getting in your packet by this date guarantees completion by the first day of your class
and money back to your department (.01/page up to $2.00 per packet)

Simply download the pdf version of the form and submit it with your packet.

The Cornell Store, 135 Ho Plaza, Ithaca, NY 14853
(607) 255-4111 • (800) 624-4080 (Hours)

Fully owned & operated by Cornell University; store revenue
supports university operations, facilities & programming.

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