Online Purchase Order Submission Form

Be sure to complete the to allow SFS to send invoices to your third party!

Online PO Submission

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

3rd Party Name*

Organization ID Number*

Invoice Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Invoice Contact Name*

First Last

Invoice Contact Phone*

Invoice Contact Email*

Term*

Student ID #*

Student Full Name*

3rd party will be paying ALL tuition and associated fees for the above student*

Yes

Number of Credit Hours Covered*

Please visit the following website for current tuition rates and associated fees: /bursar/tuition-and-fees/

Select Specific Fees Beyond Tuition to Cover*

Technology Fee

Activity Fee

Program Tuition Differential

Online Fee

Graduate Application Fee

Digital Textbooks

Miscellaneous Fees (Please specify in notes)

Please visit the following website for current tuition rates and associated fees: /bursar/tuition-and-fees/

Total Amount Covered (Enter Dollar Amount)*

Notes

Anticipated Resources must be entered by each student on their MaineStreet account in order to avoid late fees and communicate that there is a 3rd party paying their bill. Step-by-step instructions can be found here: /bursar/resources/

Due to FERPA regulations, we are not able to discuss account details without written authorization. Such details include charges, enrollment, grades, attendance, etc.

Please direct any questions to:
3rd Party Billing Specialist
Tel: 207.581.1521
umbursar3rdpartybilling@maine.edu

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Online Purchase Order Submission Form

Online PO Submission

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