Fayetteville State Commuter Meal Plan Sign Up Form

Student Name: *This question is required.

Student Banner ID (9 digits): *This question is required. This question requires a valid number format.

Student Address Line 1: *This question is required.

Student Address Line 2

City: *This question is required.

State *This question is required.

Zip Code: *This question is required. This question requires a valid number format.

Student Phone Number (no characters; include area code; ex. 9101234567) *This question is required. This question requires a valid number format.

Student Email: *This question is required. This question requires a valid email address.

Please select your meal plan (prices are per semester): *This question is required.

Authorization *This question is required.