Application for Re-Admission Fee

Personal Information

Asterisks indicate required fields which are necessary for the proper processing of your credit card.

Student Applicant Name:^*

Address Line 1 (Street address, P.O. box, company name, c/o):^*

Address Line 2 (Apartment, suite, unit, building, floor, etc.):

City:^*

Province/State:^* AB Alberta BC British Columbia MB Manitoba NB New Brunswick NF Newfoundland NS Nova Scotia NT Northwest Territories/Nunavut ON Ontario PE Prince Edward Island QC Quebec SK Saskatchewan YT Yukon AK Alaska AL Alabama AR Arkansas AS American Samoa AZ Arizona CA California CO Colorado CT Connecticut DC District of Columbia DE Delaware FL Florida FM Micronesia GA Georgia GU Guam HI Hawaii IA Iowa ID Idaho IL Illinois IN Indiana KS Kansas KY Kentucky LA Louisiana MA Massachusetts MD Maryland ME Maine MI Michigan MN Minnesota MO Missouri MP Northern Marianas MS Mississippi MT Montana NC North Carolina ND North Dakota NE Nebraska NH New Hampshire NJ New Jersey NM New Mexico NV Nevada NY New York OH Ohio OK Oklahoma OR Oregon PA Pennsylvania PR Puerto Rico RI Rhode Island SC South Carolina SD South Dakota TN Tennessee TX Texas UT Utah VA Virginia VI Virgin Islands VT Vermont WA Washington WI Wisconsin WV West Virginia WY Wyoming

Country:^* Canada United States

PC/Zip:^*

Email:^*

Telephone:^*

Card Holder Name (Name exactly as it exactly appears on the Credit Card):^*

The Re-Application Fee is $30 CA (non-refundable).

The Next Step

After you have finished entering the information requested above, click the "Continue" button below. You will be directed to a secure site, where you will be able to complete your credit card transaction.

Thank you for choosing Summit.