Cavalier Advantage Deposit Form

Name

UVA ID Number

- (No longer your SSN)

*Deposit
Amount

($52 minimum; $1502 maximum per semester)

Phone

Credit Card Information (for mail-in deposits only):

Account Number:
Expiration Date:
Credit Card Issued To:
Cardholder's Mailing Address:

Credit Cardholder's Signature ___________________________________________________________

*There is a $2 processing fee per deposit.

Fill out the form on the web, print and sign. Include this with your deposit or mail for credit card transactions.

UVA - Cavalier Advantage
P.O. Box 400313
Charlottesville, VA 22904-4313
Phone: 434-982-5735
Fax: 434-982-5173