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Office of AdmissionsApplication Fee Payment Form

Attach this form to your Document ID sheet and submit all documents together.You will find the mailing addresses at the bottom of the Document ID sheet.

Full legal name as it appears on your application/passport:

Family/Last name: ____________________________ First: ___________________ Middle: ____________

Date of birth: mm / dd   / yyyy   6-digit ApplyTexas Application ID (not username): ___________________

□ $75 U.S. Undergraduate

Note: Undergraduate Fee is $60 for Fall 2012 and Spring 2013 terms

□ $50 U.S. Graduate

□ $90 International Undergraduate/Graduate

Credit Cards

Payments may be mailed or by calling Admissions Processing Fees at (979) 458-5155

□ Visa □ MasterCard □ American Express □ Discover

Billing address: _____________________________________________________________________________

City: _____ __________________________ State: _____ _ ZIP code: ______ ____

Account Number: ________________________ Expiration Date: ______________ Security Code: _________

Checks or Money Orders - Payable to:  “Texas A&M University.”

(3 or 4 digit located on the back of credit card)