Bookstore Advance Exception Request

This request form should only be used by students who are not eligible for a bookstore advancement due to exceptional circumstances (consortium students, etc.). All requests will be reviewed for eligibility of an exception to our bookstore advancement policy, as well as completion of the FA Waiver Permission Slip.

LCCC Student ID Number * Required
Name * Required
First Last
Mailing Address * Required
Street Address Apt. Number City State / Province / Region ZIP / Postal Code
Preferred Phone Number * Required
LCCC-Issued Student Email Address * Required
Today's Date - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY
Agreement * Required
I understand that I am responsible for 100% of the charges from the bookstore on my student account with the Bursar's Office, as well as any other tuition/fees. By submitting this form, I agree to pay all charges incurred on my account that are not covered by financial aid or other means of payment.
- I agree
Signature - Initials * Required
My initials below indicate my agreement to pay all charges if my financial aid does not cover them.
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