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Opt Out

Please fill out this form (and attach a printout of your current spring registration status - http://www.uvic.ca/current-students/index.php) to receive your VIPIRG refund. We will mail your cheque to you. Thank you.

I understand that by receiving my refund, I lose my right to:

  • Participate in VIPIRG committees, projects, services, and research.

  • Use the resources in the VIPIRG Alternative Resource Centre

  • Run for election to the VIPIRG Board of Directors

  • Apply for student jobs at VIPIRG and,

  • Vote at the VIPIRG AGM.

  • I also understand that my Student ID# will be checked to confirm that I am a registered full or part time student in the current year.

 

VIPIRG Opt Out Form

Name *
Name
Phone *
Phone
Enrolment status? *
Address *
Address
Where should we mail your refund cheque?