Cavalier Advantage Deposit Form

Name

ID Number

- (No Longer the SSN)

Deposit
Amount

($50 minimum; $1500 maximum per semester)

Phone

*Credit Card Info (for mail-in deposits only):

Account Number:
Expiration Date:
Credit Card Issued To:
Cardholder's Mailing Address:

Credit Cardholder's Signature ___________________________________________________________

Fill out the form on the web, print and sign. Include this with your deposit or send it for credit card transactions.

UVA - Cavalier Advantage
P.O. Box 400313
Charlottesville, VA 22904-4313
Phone: 434-982-5735
Fax: 434-982-5173