* All fields are mandatory Name * Campus Wide ID # * Email * Please type in your email address Class Year * What is your current class year? Term * - Select -SpringFallSummer What semester are you requesting to cancel? Year * - Select -20122013 What year are you requesting to cancel? Building * CPA Jonas Humphreys Palmer Hayden Davis 600 River Terrace 604 River Terrace Lore El 110 Washington 538 Washington 733 Jefferson CARE @ 1036 Park 800 Madison Curling Club Clinton Curling Club Adams Curling Club Grand Juliana Marbella Shipyard Patrician 828 Garden Room Number * Reason for cancelling *