Rollover Tuition Form

Your class cancellation notification must be submitted by email to mnsom@mnaog.org at least 24 hours before the class you cannot attend. You then have 30 days to submit this form to use the tuition rollover credit.

Please choose your NEXT class you need for where to apply the rollover.

If you have a special circumstance or concern please contact us at mnsom@mnaog.org or 612-332-2400.

Full Name*

First NameLast Name

E-mail*

Class Date to Cancel*

Class Location to Cancel*

South Twin Cities, St. Cloud, or Cloquet

Class number to cancel

Ex: 140

Class Name to Cancel*

Ex: Systematic Theology

Class Date to Add*

(Should be your next class within 4-5 months)

Class Location Add*

South Twin Cities, St. Cloud, or Cloquet

Class number to add

Ex: 112

Class Name to Add*

Ex: Life of Christ

Please pay $25*

Rollover tuition$25.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Terms and Conditions*

I give permission to MNSOM to charge my card.