Rensselaer Auxiliary Services Summer 2018 Dining Plan Agreement Please use this form to request your desired dining plan for the upcoming summer semester. An asterisk (*) indicates that a field is required. Date: * Class year (select one): * - Select -2018201920202021Graduate student Last name: * First name: * Rensselaer ID number (RIN): * E-mail address: * Campus / local address: * Room/apartment #: * Phone number: * Please select your desired dining plan: * - Select -10 on-demand meals @ $125 / week15 on-demand meals @ $194 / week19 on-demand meals @ $235 / week100 meal block @ $1,200 / block ______________________________________________________________________________________________________ Meal plans will be available for each of the following weeks. Please consider your dining needs for the entire summer, and then select as many of the weeks as necessary. Plan selections * May 20 - May 26 May 27 - June 2 June 3 - June 9 June 10 - June 16 June 17 - June 23 June 24 - June 30 July 1 - July 7 July 8 - July 14 July 15 - July 21 July 22 - July 28 July 29 - August 4 August 5 - August 11 August 12 - August 17 Dining plans: Summer meal plan service will begin with breakfast on Sunday, May 20 and continue through Friday, August 17 in Russell Sage Dining Hall.Plan changes or cancellations: Auxiliary Services will incur no penalties on written meal plan changes or cancellations received by Monday, May 28, 2018. ___________________________________________________________________________________________ By entering my name below, I acknowledge that I understand the terms and conditions regarding Rensselaer's summer meal plan. Electronic signature (PLEASE PRINT FULL NAME) * Generate a new captcha What code is in the image? * Enter the characters shown in the image.