To: Student Account Services 202 Twamley Hall Stop 8373 Grand Forks ND 58202-8373 To Whom It May Concern, I do not authorize Student Account Services or any other organization affiliated with the University of North Dakota to share or transfer any of my financial information or assets to any other institution without my prior written authorization. I have not previously, nor do I intend to in the future, agree to participate in the “UND Pride Card” program. Please disburse my student aid directly to me by check or direct deposit, as I have previously arranged. Sincerely, ____________________________________________________________ Name ____________________________________________________________ Signature ____________________________________________________________ Student ID ____________________________________________________________ Date