Flex Account Roll-Over Form

Name:	Date

VSU I.D. # (Enter first 9 digits only)	Email


By Clicking the Submit Button, You Agree to the Following

I wish to roll my remaining FLEX Account balance of $25.00 or more over until the end of the next Spring Semester. I understand that if my FLEX Account remains inactive during said time, I shall forfeit the remaining balance and shall receive no prior notice. I am aware that should I choose to withdraw my funds prior to the end of next semester, I may complete a Refund Request form for a balance of $25.00 or more 11 business days after the first day of class, each semester.
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