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Please complete this form when an invoice is sent to a customer. The Bursar's Office will use the data submitted to process a payment once it's been received.
If you have any questions, please contact the Bursar's Office at 713-348-4946 or
bursar@rice.edu
.
Department Contact Information
Contact Name:
Contact Email:
Payment Information
Customer Name:
Payment Date (mm/dd/yyyy)
:
Payment Amount (Only Numerical Values): $
Payment Details:
Is the payment a wire or check?
Check
Wire
Unknown
Error: You have entered nonnumerical characters. Please only enter numerical characters to proceed. Thank you
Is your expected payment a Gift?
Yes
No
Is your expected payment for Research?
Yes
No
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