Online Purchase Order Submission Form - Student Business Services

3rd Party Name*

Organization ID Number*

Invoice Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Invoice Contact Name*

First Last

Invoice Contact Phone*

Invoice Contact Email*

Term*

Student ID #*

Student Full Name*

3rd party will be paying ALL tuition and associated fees for the above student*

Number of Credit Hours Covered*

Please visit the following website for current tuition rates and associated fees: https://umaine.edu/bursar/tuition-and-fees/

Select Specific Fees Beyond Tuition to Cover*

Please visit the following website for current tuition rates and associated fees: https://umaine.edu/bursar/tuition-and-fees/

Total Amount Covered (Enter Dollar Amount)*

Notes